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Building Knowledge Networks for Quality Improvement & Patient Safety in the Irish Health Service ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
 
Dunning-Kruger Effect.  "Overestimation occurs, in part, because people who are unskilled in these domains suffer a dual burden: Not only do these people reach erroneous conclusions and make unfortunate choices, but their incompetence robs them of the metacognitive ability to realize it
Networks ,[object Object],[object Object]
 
Text Christakis NA; NEJM 357;4 1997
A system is a network of interdependent components that work together to try to accomplish the aim of the system. A system must have an aim. Without the aim, there is no system. W. Edwards Deming
The Aim Better Quality Better Access Less Cost
IHI ,[object Object],[object Object],[object Object]
Berwick, DM. JAMA.  2003;289:1969-1975
Berwick, DM. JAMA.  2003;289:1969-1975
[object Object],[object Object],It’s a lonely place
Recipe ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IHI Framework ,[object Object],[object Object],[object Object]
The secret of success ,[object Object],[object Object],[object Object]
How to begin; start small
Don’t reinvent the wheel
What is available? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Existing Knowledge ,[object Object],[object Object],[object Object],[object Object],[object Object]
Traditional Social Networks
Clinical Programmes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Programmes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is available ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is available ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other Resources ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Legislative Framework ,[object Object],[object Object],[object Object]
Priorities ,[object Object],[object Object],[object Object],[object Object],[object Object]
Other Areas ,[object Object],[object Object],[object Object]
Safety = QI? ,[object Object],[object Object],[object Object]
Suggestions ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Leadership & Culture ,[object Object],[object Object],[object Object]
“ It is not necessary to change. Survival is not mandatory.”
[object Object]
Recommended Reading ,[object Object],[object Object],[object Object]

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Dr. David Vaughan

  • 1.
  • 2.
  • 3.  
  • 4. Dunning-Kruger Effect. "Overestimation occurs, in part, because people who are unskilled in these domains suffer a dual burden: Not only do these people reach erroneous conclusions and make unfortunate choices, but their incompetence robs them of the metacognitive ability to realize it
  • 5.
  • 6.  
  • 7. Text Christakis NA; NEJM 357;4 1997
  • 8. A system is a network of interdependent components that work together to try to accomplish the aim of the system. A system must have an aim. Without the aim, there is no system. W. Edwards Deming
  • 9. The Aim Better Quality Better Access Less Cost
  • 10.
  • 11. Berwick, DM. JAMA.  2003;289:1969-1975
  • 12. Berwick, DM. JAMA.  2003;289:1969-1975
  • 13.
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  • 17. How to begin; start small
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  • 31.
  • 32.
  • 33.
  • 34. “ It is not necessary to change. Survival is not mandatory.”
  • 35.
  • 36.