Medical errors often occur due to system failure, not human failure. Hospitalist Kencee Graves helps explain why we need to evaluate medical error from a system standpoint.

University of Utah Health’s success is driven by teams doing the right work for our patients — and sharing that work across the system. Chief Medical Quality Officer Bob Pendleton reflects on the universal importance of continuous improvement while looking at health care through the eyes of a patient.

Including patients in treatment planning improves their experience, and patient reported outcomes (PROs) offer new ways to do just that — talking with patients about how treatment impacts their daily life. Clinical Nurse Coordinator Lisa McMurtrey shares the Burn Clinic team’s award-winning work implementing PROs during patient visits without disrupting flow.

Kyle Bradford Jones is back, this time with a deep dive into decision-making. Jones uses psychology to explain why it takes so long to adopt new evidence into our clinical practice and argues that we need to actively schedule time together in order to reflect.

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.

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.

Using improvement methodology to solve one piece of America’s opioid epidemic. Dr. Sean Stokes and team used the practice of scoping to focus on one population and one procedure to achieve manageable, measurable improvement.

Dr. Kyle Bradford Jones examines the Netflix algorithm for user preference as a model for developing provider selection tools that match patient values with their care needs.

What is the strongest predictor of an effective solution? It’s not the size of the committee or the length of the brainstorming session. The best predictor of successful solutions is how well the problem is understood. Investing time in defining, investigating and analyzing the problem can lead to transformative solutions.

What does healthcare really cost to deliver? And does the cost really make a difference in patients’ health and experience? The University of Utah tackled this problem with the creation of Value Driven Outcomes (VDO), a program to enable local clinical decision makers to lead improvements in care delivery relative to cost, quality, and service.

Improving value in healthcare means redesigning care to meet patients’ needs. We must push ourselves beyond patient satisfaction surveys to reduce uncertainty, complexity, and confusion in the delivery of care. Matthew Stein, MD, and the Breast Imaging team unflinchingly faced a source of uncertainty for patients: waiting for mammogram results.