Quality Improvement

Addressing Small Problems to Build Safer, More Reliable Systems

QI 202: معالجة المشكلات الصغيرة لبناء أنظمة أكثر أمانًا وموثوقية

⏱️ 60 min 📚 IHI Open School View on IHI →

Addressing Small Problems to Build Safer, More Reliable Systems

QI 202: معالجة المشكلات الصغيرة لبناء أنظمة أكثر أمانًا وموثوقية

Topic:

Quality Improvement

Format:

Online

Courses:

1

CE Credits:

Optional

Fee:

$10–20 USD

Subscription Options

Note: This course is available as an individual course and in select subscription plans.

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Course Objectives

After completing this course, you will be able to:

  • Explain why system complexity requires us to take a methodical approach to system design, operation, and improvement.
  • Explain how the absence of this methodical approach will cause complex systems to fail predictably.
  • Propose specific applications of this methodical approach to the design, operation, and improvement of health care.

    • Estimated Time of Completion: 1 hour

    English Overview

    This course equips health professionals to strengthen measurement, PDSA execution, reliability, and spread of improvements while maintaining patient-centered, safe, and reliable care delivery. The content is adapted for Saudi Arabia’s service environment across MOH facilities, private providers, and PHC clusters.

    نظرة عامة بالعربية

    تهدف هذه الدورة إلى تطوير قدرات الممارسين الصحيين في القياس، وتنفيذ دورات التحسين PDSA، والموثوقية، ونشر التحسينات مع الحفاظ على رعاية آمنة وموثوقة ومتمحورة حول المستفيد. وتم تكييف المحتوى ليتناسب مع بيئة تقديم الخدمات الصحية في السعودية عبر مرافق وزارة الصحة والقطاع الخاص وتجمعات الرعاية الأولية.

    Learning Outcomes | مخرجات التعلم

    English

  • Explain why system complexity requires us to take a methodical approach to system design, operation, and improvement.
  • Explain how the absence of this methodical approach will cause complex systems to fail predictably.
  • Propose specific applications of this methodical approach to the design, operation, and improvement of health care.
  • 1 Medical Knowledge MOC point(s) in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
  • 1 MOC point(s) in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program
  • 1 point(s) in the CME component of the American Board of Anesthesiology's redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. (Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.)
  • 1 point(s) in the American Board of Ophthalmology's Maintenance of Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting MOC credit.
  • American Board of Anesthesiology (ABA)
  • American Board of Allergy & Immunology (ABAI)
  • American Board of Colon & Rectal Surgery (ABCRS)
  • American Board of Pathology (ABPath)
  • American Board of Psychiatry & Neurology (ABPN)
  • American Board of Plastic Surgery (ABPS)
  • American Board of Nuclear Medicine (ABNM)
  • American Board of Thoracic Surgery (ABTS)
  • American Board of Urology (ABU)
  • American Board of Family Medicine (ABFM) (15pts)*
  • American Board of Pediatrics (ABPed) (20pts)*
  • American Board of Ophthalmology (ABOP)
  • American Board of Orthopedic Surgery (ABOS)
  • American Board of Radiology (ABR)
  • American Board of Physical Medicine and Rehabilitation (ABPMR)
  • Code: QI 202
  • Format: Online, On-Demand
  • Provider: IHI Open School
  • Source: IHI Education Platform
  • Duration: 60 minutes
  • الشكل: عبر الإنترنت، حسب الطلب
  • المزود: IHI Open School
  • المصدر: منصة IHI التعليمية
  • المدة: 60 دقيقة
  • Translate course methods into a measurable implementation plan for a Saudi care setting.

    • العربية

  • فهم مبادئ تحسين الجودة وتحديد فرص التحسين ذات الأولوية في بيئة العمل.
  • استخدام أدوات القياس والتحليل لمتابعة الأداء قبل وبعد التدخلات.
  • تطبيق دورات PDSA بشكل عملي مع توثيق النتائج والدروس المستفادة.
  • تحويل مفاهيم الدورة إلى خطة تنفيذ قابلة للقياس داخل منشأة صحية سعودية.

    • Expanded Lesson Summaries | الملخصات الموسعة للدروس

    Lesson 1: Core Concepts

  • Expanded Summary: This lesson introduces core concepts of Addressing Small Problems to Build Safer, More Reliable Systems and how to operationalize them. This expanded module links the concept to Saudi operational realities, multidisciplinary communication, and measurable service outcomes.
  • Saudi Local Application: Apply this lesson in MOH hospitals, private hospital groups, and PHC clusters using role-specific workflows for physicians, nurses, pharmacists, and quality teams.
  • Practical Activity: Run a 30–45 minute team huddle to map one current-state process, identify one avoidable risk/waste point, and test one improvement action.
  • Checkpoint: Confirm a baseline metric, target value, owner, and a weekly review cadence.

    • الدرس 1: المفاهيم الجوهرية

  • الملخص الموسّع: تُرسي هذه الوحدة الأُسس المفاهيمية للدورة وتربطها بالسياق التشغيلي الفعلي في المنشآت الصحية السعودية. تُعرِّف الممارس بالأطر النظرية الداعمة وتُبيِّن لماذا يُعدّ هذا الموضوع ذا أولوية في ظل متطلبات رؤية 2030 ومعايير اعتماد هيئة CBAHI واحتياجات المستفيد المحلي.
  • التطبيق السعودي: يُطبَّق الدرس في مستشفيات وزارة الصحة والقطاع الخاص وتجمعات الرعاية الأولية مع تحديد مسؤوليات الأطباء والتمريض والصيدلة وفرق الجودة.
  • نشاط عملي: استعرض مسار رعاية حقيقيًا في قسمك لمدة 20 دقيقة: راقب، ودوِّن ثلاث نقاط تأخير أو فجوات تواصل، ثم ناقش الملاحظات مع مشرفك المباشر.
  • نقطة تحقق: تثبيت مؤشر خط أساس، وقيمة مستهدفة، ومالك واضح للإجراء، وجدول مراجعة أسبوعي.

    • Saudi Healthcare Application | التطبيق في سوق الرعاية الصحية السعودي

    English

  • Care settings: MOH hospitals, private hospital groups, and PHC clusters.
  • Operational priorities: quality outcomes, patient safety, wait-time reduction, continuity of care, and resource optimization.
  • Role-based relevance:

    • - Physicians: clinical decision consistency and safer care plans.

    - Nurses: workflow reliability, escalation, and patient/family communication.

    - Pharmacists: medication safety and reconciliation support.

    - Quality teams: measurement, governance reporting, and spread planning.

  • Local scenario: Use this course to reduce outpatient no-show impact and improve appointment access in a large urban PHC network.

    • العربية

  • بيئات التطبيق: مستشفيات وزارة الصحة، ومجموعات المستشفيات الخاصة، وتجمعات الرعاية الصحية الأولية.
  • الأولويات التشغيلية: نتائج الجودة، وسلامة المرضى، وتقليل زمن الانتظار، واستمرارية الرعاية، وترشيد الموارد.
  • الملاءمة حسب الدور:

    • - الأطباء: توحيد القرار السريري وخطط علاج أكثر أمانًا.

    - التمريض: موثوقية سير العمل والتصعيد والتواصل مع المريض/الأسرة.

    - الصيدلة: دعم سلامة الدواء والمراجعة الدوائية.

    - فرق الجودة: القياس، والتقارير الحوكمية، وخطط نشر التحسين.

  • سيناريو محلي: تُستخدم الدورة من أجل تقليل أثر عدم الحضور للعيادات وتحسين إتاحة المواعيد في شبكة رعاية أولية حضرية كبيرة.

    • Practical Activities & Assessment | الأنشطة العملية والتقييم

    English

  • Process Walkthrough: Observe one real workflow and record delay, defect, and communication gaps.
  • Rapid Improvement Test: Execute one small test of change and compare before/after indicators.
  • Team Reflection: Conduct a multidisciplinary debrief with action owners and due dates.

    • Assessment checkpoints:

  • Baseline and post-test metrics documented.
  • Evidence of stakeholder engagement.
  • Clear escalation path for identified risks.
  • 30/60/90-day follow-up plan.

    • العربية

  • استعراض العملية: ملاحظة مسار عمل حقيقي وتوثيق نقاط التأخير والأخطاء وفجوات التواصل.
  • اختبار تحسين سريع: تنفيذ تجربة تحسين صغيرة ومقارنة المؤشرات قبل/بعد.
  • مراجعة الفريق: عقد جلسة مراجعة متعددة التخصصات مع تحديد ملاك الإجراءات والمواعيد.

    • نقاط التقييم:

  • توثيق خط الأساس ومؤشرات ما بعد الاختبار.
  • وجود مشاركة فعّالة من أصحاب العلاقة.
  • مسار تصعيد واضح للمخاطر.
  • خطة متابعة لمدة 30/60/90 يومًا.

    • Bilingual Glossary | معجم ثنائي اللغة

    | English Term | المصطلح العربي |

    |---|---|

    | Run chart | مخطط زمني تشغيلي |

    | PDSA cycle | دورة خطط-نفّذ-ادرس-صحّح |

    | Process measure | مؤشر قياس العملية |

    | Balancing measure | مؤشر موازنة |

    | Reliability | الموثوقية |

    | Scale-up | التوسّع التشغيلي |

    | Model for Improvement | نموذج التحسين |

    | SMART goal | الهدف الذكي SMART |

    | Driver diagram | مخطط المحركات |

    | Outcome measure | مؤشر النتائج |

    | Aim statement | بيان الهدف |

    | Change idea | فكرة التغيير |

    | Spread plan | خطة نشر التحسين |

    | Sustainability plan | خطة الاستدامة |

    | Theory of change | نظرية التغيير |

    | Statistical process control | الضبط الإحصائي للعمليات |

    References & Resources | المراجع والموارد

  • IHI Open School course source: https://www.ihi.org/learn/courses/open-school/catalog/qi-202
  • IHI course catalog: https://www.ihi.org/learn/courses/open-school/catalog
  • Suggested local adaptation: align implementation with your facility governance, quality committees, and departmental KPIs.
  • CBAHI QI Standards: https://www.cbahi.gov.sa/english/CBAHI-Standards
  • IHI QI Essentials Toolkit: https://www.ihi.org/resources/Pages/Tools/Quality-Improvement-Essentials-Toolkit.aspx
  • MOH Saudi Health KPIs Dashboard: https://www.moh.gov.sa
  • Vision 2030 Health Transformation Program: https://www.vision2030.gov.sa/v2030/vrps/hst/
  • IHI Improvement Map: https://www.ihi.org/ImprovementMap

    • Apply in Your Hospital/Clinic | التطبيق في المستشفى/العيادة

    English Action Checklist

  • [ ] Select one department and one measurable problem.
  • [ ] Form a multidisciplinary micro-team.
  • [ ] Define baseline, target, and data collection frequency.
  • [ ] Run at least one improvement test and document findings.
  • [ ] Report outcomes to quality governance and plan next-cycle spread.
  • [ ] Present your improvement project charter to your department head within 30 days.
  • [ ] Schedule monthly data reviews with your improvement team and document decisions.
  • [ ] Submit a spread plan to your quality committee within 90 days of project launch.

    • قائمة إجراءات بالعربية

  • [ ] اختيار قسم واحد ومشكلة قابلة للقياس.
  • [ ] تشكيل فريق مصغر متعدد التخصصات.
  • [ ] تحديد خط الأساس والهدف وتواتر جمع البيانات.
  • [ ] تنفيذ اختبار تحسين واحد على الأقل وتوثيق النتائج.
  • [ ] رفع النتائج لهيكل حوكمة الجودة ووضع خطة توسع للدورة التالية.- [ ] تقديم ميثاق مشروع التحسين لرئيس القسم خلال 30 يومًا.
  • [ ] جدولة مراجعات بيانات شهرية مع فريق التحسين وتوثيق القرارات.
  • [ ] تقديم خطة نشر للجنة الجودة خلال 90 يومًا من انطلاق المشروع.

    • Continuing Education Credits

    Course completion typically earns 1 Continuing Education credit. Please read the full details to ensure that this course offers your desired credit type. Learn more about Continuing Education credits

    See full detailsThe Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    This activity is approved to award 1 credit(s) toward Certified Professional in Patient Safety (CPPS) recertification.

    This activity/program is approved by NAHQ® for 1 CPHQ CE credit.

    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 1 Medical Knowledge MOC point(s) in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
  • 1 MOC point(s) in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program
  • 1 point(s) in the CME component of the American Board of Anesthesiology's redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. (Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.)
  • 1 point(s) in the American Board of Ophthalmology's Maintenance of Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting MOC credit.

    • Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to satisfy the Lifelong Learning requirements for the American Board of Ophthalmology's Maintenance of Certification program.

    Successful completion of this activity, which includes participation in the evaluation component, offers Lifelong Learning (MOC Part 2 CME) point(s) for the following boards:

  • American Board of Anesthesiology (ABA)
  • American Board of Allergy & Immunology (ABAI)
  • American Board of Colon & Rectal Surgery (ABCRS)
  • American Board of Pathology (ABPath)
  • American Board of Psychiatry & Neurology (ABPN)
  • American Board of Plastic Surgery (ABPS)
  • American Board of Nuclear Medicine (ABNM)
  • American Board of Thoracic Surgery (ABTS)
  • American Board of Urology (ABU)

    • Successful completion of this activity, which includes participation in the evaluation component, offers Self-Assessment (MOC Part 2 SA) point(s) for the following boards:

  • American Board of Family Medicine (ABFM) (15pts)*
  • American Board of Pediatrics (ABPed) (20pts)*
  • American Board of Ophthalmology (ABOP)
  • American Board of Orthopedic Surgery (ABOS)
  • American Board of Radiology (ABR)
  • American Board of Physical Medicine and Rehabilitation (ABPMR)

    • *ABPed and ABFM diplomates are required to complete all the selected courses within an activity to collect MOC activity points.

    It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting MOC credit.

    As a Jointly Accredited Organization, the Institute for Healthcare Improvement is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1 general continuing education credits.

    By attending QI 202 offered by the Institute for Healthcare Improvement participants may earn up to 1 ACHE Qualifying Education Hours toward initial certification or recertification of the Fellow of the American College of Healthcare Executives (FACHE) designation.

    Course Details

  • Code: QI 202
  • Format: Online, On-Demand
  • Provider: IHI Open School
  • Source: IHI Education Platform
  • Duration: 60 minutes

    • تفاصيل الدورة

  • الشكل: عبر الإنترنت، حسب الطلب
  • المزود: IHI Open School
  • المصدر: منصة IHI التعليمية
  • المدة: 60 دقيقة