Quality Improvement in Psychiatry
High-performing mental-health services do not happen by accident—they are built through iterative learning, reliable workflows, and data that clinicians trust. Quality Improvement in Psychiatry turns abstract “quality” into concrete practice: safer prescribing, faster access, fewer readmissions, tighter follow-up, and better patient-reported outcomes. We start with what matters to patients—function, sleep, cravings, safety—and then design processes that deliver those results consistently across clinics, wards, and virtual care. You’ll learn how to define a problem with operational precision, create SMART aims, map a care pathway, and select measures that reflect outcomes, processes, and balancing risks (e.g., time burden, equity impact). We compare QI approaches—Model for Improvement, Lean, and human-centered design—and show how to run disciplined PDSA cycles: small tests, learning reviews, and scale-up without burnout. The session covers run charts and SPC to separate signal from noise, along with practical data plumbing—EHR flowsheets, structured fields, registries, and patient-generated data. We’ll practice designing reliable handoffs, no-show recapture loops, and safety-net triggers for suicidality or withdrawal. Equity is integral: stratify results by language, income, age, and geography; co-design with peers and community members; measure what access really feels like for patients. Leadership and culture matter too—psychological safety, transparent goals, and sustained huddles turn QI from a “project” into how the team works every day. By aligning Quality Improvement in Psychiatry, discoverability via psychiatry quality improvement conference, and field standards like quality metrics in mental health, participants can transform evidence into routines that last.
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Methods, Measures & Culture That Make Care Reliable
Define the problem and aim
- Turn broad frustrations into specific, measurable goals using SMART criteria.
- Specify the target population, expected outcome, and success threshold to give projects direction.
Map the pathway and failure modes
- Visualize each process step to uncover delays and weak handoffs.
- Apply Failure Mode and Effects Analysis (FMEA) to anticipate errors before they occur.
Measure what matters
- Combine outcome, process, and balancing indicators for a complete view of change.
- Stratify results by demographic and equity factors to reveal true performance gaps.
Run disciplined PDSA cycles
- Test small, quick changes using Plan–Do–Study–Act cycles.
- Learn from early failures, refine, and scale only interventions that genuinely improve flow and outcomes.
What You’ll Be Able To Do After This Session
Write a SMART aim
State a precise, time-bound goal that your team can rally around and measure.
Choose the right metrics
Pair outcome, process, and balancing measures to see the whole system.
Design safer pathways
Repair handoffs, recapture no-shows, and automate safety alerts for high-risk moments.
Run PDSA like a pro
Test small, learn fast, and scale without burnout or drift.
See change with SPC
Use control limits to separate real improvement from random variation.
Make equity visible
Stratify results and co-design fixes with communities most affected.
Close the loop
Build dashboards, feedback routines, and ownership so gains persist.
Spread what works
Create playbooks and mentorship to replicate success across sites.
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