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Double loop learning and the quality of quality improvement
1Mercer University School of Medicine, Macon, Georgia 31207, USA.
The Joint Commission Journal on Quality Improvement
|January 1, 1996
Summary
Double loop learning enhances quality improvement (QI) by questioning organizational goals. Implementing this approach, as seen in a hospital case study, can lead to genuine performance improvements rather than just "paper" gains.
Area of Science:
- Healthcare Management
- Organizational Psychology
- Quality Improvement Science
Background:
- Double loop learning involves questioning organizational policies and goals to enhance quality improvement (QI) effectiveness.
- Joint Commission standards for Improving Organizational Performance (PI) appear to integrate the principles of double loop learning.
Purpose of the Study:
- To explore the application of double loop learning within organizational QI processes.
- To demonstrate how a consultant utilized the PI framework in a mental hospital's QI function.
Main Methods:
- A composite case study approach was employed.
- A consultant reviewed a 300-bed state mental hospital's QI function using the PI framework.
- The study illustrates the assessment phase of QI, focusing on the correct use of statistical tools like run charts and process control charts.
Main Results:
- Hospital staff lacked familiarity with essential QI tools such as run charts and control charts.
- Training was provided on variation and process control, aiding data evaluation.
- The hospital committed to further training in statistical process control and reassessing staffing needs for QI.
Conclusions:
- A critical evaluation of QI value can drive actual performance improvements.
- Developing specific indicators is crucial for assessing and enhancing QI processes.