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Calculating the correct ‘dose’ of QI skills required for quality care

The Institute for Healthcare Improvement (IHI) has introduced the concept of Quality Improvement (QI) ‘dosing’, where different staff roles receive tailored levels of improvement science (SOI) training based on their responsibilities. 

In practice, this means tailoring QI training and development to the specific needs and roles of various groups within an organisation. For instance, frontline staff may receive practical, hands-on QI training focused on immediate patient care improvements. Managers might undergo more comprehensive training including data analysis and project management skills. Senior leaders and board members might focus on strategic oversight and fostering a culture of quality improvement throughout the organisation. 

By customising the training doses, healthcare organisations ensure that all staff members are equipped with the appropriate knowledge and skills to effectively contribute to continuous improvement. This also reduces wasted efforts to equip staff with skills they may not need and never use in their role. 

‘QI Dosing’ not only enhances the overall capability and capacity for quality improvement, but supports creating a cohesive environment. It ensures every team member understands their role in driving better patient outcomes and is specifically equipped to enact it.

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