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Implementing Daily Management Systems to Support Sustained Quality Improvement in Ambulatory Surgery Centers

Rakover J, Little K, Scoville R, Holder B. Implementing daily management systems to support sustained quality improvement in ambulatory surgery centers. AORN Journal. 2020 Apr;111(4):415-422.

IHI's high-performance management system (HPMS) was piloted in several ambulatory surgery centers (ASCs) to understand the applicability of the theory of quality control using related practices (e.g., standardized daily huddles, visual management boards). Pilot site leaders observed an improvement of approximately 10 percentage points in their Agency for Healthcare Research and Quality patient safety culture survey scores. Researchers concluded that using the HPMS practices can improve patient care and sustain improvement.

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Huddles
A huddle is a short, stand-up meeting — 10 minutes or less — that is typically used once at the start of each workday in a clinical setting and gives teams a way to actively manage quality and safety, including a review of important standard work such as checklists.
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Implementing Daily Management Systems to Support Sustained Quality Improvement in Ambulatory Surgery Centers