New-ID

The model was established by three Americans whose experience in engineering, manufacturing and statistics shaped their view that organisations were not maximising their resources - both human and material.

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In the 1960s Juran and Deming went to work in Japan within the automotive manufacturing industry. Many credit the incredible growth and success of Japanese car manufacturing to the influence of the two.

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Their Quality Improvement model was soon adopted across many industries, including telecommunications, engineering and healthcare.

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The model works as a three stage process:

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1) Identify the issue(s)

This stage involves using root-cause analysis tools and/or process maps to identify how current systems and practices work.

In this stage it becomes clear where barriers exist and one can hypothesise about the possible impact of changing even one small element of the process.

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2) Trial a change

Everyone has trialled change at some point. However, QI does 'change' in a different way.

Rather than implementing change across entire systems or organisations, QI focusses on micro-changes and measuring their impact. Reviewing and evaluating impact is vital to deciding whether to 'Adopt', 'Adapt' or 'Abandon' the change.

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3) Leadership

Organisational leaders will use the evidence gathered to be able to bring their team along with them in rolling out the change to new settings - whilst monitoring the impact and being ever ready to review again.

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To learn more about the origins of QI and also to see how it is being used across the NHS, try the following links:

 

https://www.juran.com/about-us/dr-jurans-history/

https://improvement.nhs.uk/improvement-hub/quality-improvement/

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