Improvement in patient experience is often the hardest part of managers’ jobs. It takes consistent work engaging your team. There are no shortcuts. In this occasional series, we’ll be sharing the lessons learned the hard way from people working on the front lines to deliver care. In this post, Urology and Pelvic Care outpatient services manager Leslie Bardsley gives practical advice for involving your entire team in improvement.

Is zero possible? In the case of central line infections, the answer was once no. A CLABSI (central line associated blood stream infection) was once considered a car crash, or an expected inevitability of care. When University of Utah’s Burn Trauma Intensive Care Unit started treating CLABSIs like a plane crash, or a tragedy demanding in-depth investigation and cultural change, zero became possible.

Value engineer Cindy Spangler has shared her camping and canyoneering expertise with Accelerate in the past. But this winter, her preparation may have done us in: a big purchase of new ski equipment has led to a lackluster snow season. Or has it? Cindy reviews why correlation does not imply causation.

Delivering a great health care experience is only possible with one crucial component: reliable scheduling. It’s such an essential part of efficient operations, in fact, that the University of Utah Health created an access optimization team to help providers across the system.

To celebrate the New Year, Value Engineer Mitch Cannon applied statistics to weight loss. He was quickly reminded of an important lesson that applies in health care: when you’re trying to improve, don’t overreact to data.

Balancing uncertainty, fear, and emotions isn’t easy — especially in health care. Family practice physician Kyle Bradford Jones looks outside of his practice to identify two common biases that affect how we behave in the face of perceived risk. His key insight? The risk that isn’t directly in front of us may be mistaken for no risk at all.

Just over one year ago, we launched Accelerate – University of Utah Health’s improvement community. Here are the “Top 3” articles from 2017 selected by the 16,673 members of our burgeoning community.

First came High Reliability Thanksgiving. Then High Reliability Camping. In keeping with the Lean holiday spirit, Accelerate’s Marcie Hopkins shares her method for high reliability gift wrapping — with a little help from our friends in Sterile Processing, who’ve perfected the envelope fold.

Managing patients’ expectations is often a euphemism for pragmatically preventing disappointment. But Melissa Briley, physician assistant at Redstone Health Center, integrates technology, teamwork, and clinic flow processes to reduce the uncertainty that comes from waiting for test results or instructions from a provider.

Sterile Processing runs a lean operation, delivering millions of instruments to University of Utah Health’s procedural teams. Director of value engineering Steve Johnson, assisted by the video wizardry of Charlie Ehlert, sheds light on our system’s unseen infection prevention heroes.

Engineer Cindy Spangler compares canyoneering and surgery and identifies a common thread: the need for high-reliability processes. She describes how surgical time-out, a quick huddle to debrief before surgery, can serve as a useful model for reducing the risk of harm in canyoneering.

Teaching the next generation of health care providers happens every morning in 10 minute chunks throughout the hospital. The Surgical Intensive Care Unit reimagined the physician rounds to feature the patient’s nurse, instead of the patient’s physician-student. They found that this simple change created a stronger interprofessional team and advanced nursing practice.