Guided by the science? The Science Symposium at the International Forum - Copenhagen

Guided by the science? Professor Jan Mainz and Professor Pierre Barker recently spoke to Ingrid Bray at BMJ about how the concept of improvement science offers new methodologies and evaluation design.

The field of improvement science is a practical science that focuses on innovation and swift testing in real-life situations. Its expansion within today's healthcare systems can generate knowledge on which variations and contexts can improve the quality of care. It combines expert knowledge, improvement methods, and tools from clinical science, psychology, statistics, and systems theory.?

Health professionals can use the concept to identify a specific goal for improvement, devise a plan for measuring the progress, and test minor changes to see if they lead to advances over a brief period. Once these tests are refined and successfully implemented in the specific context, it’s time to expand the testing and scale up the changes.?

This approach finds its roots in American engineer W. Edwards Deming’s philosophy, who believed that organisations could enhance quality and reduce costs by adhering to certain management principles.?

?This year’s Improvement Science Symposium stream will make waves in the healthcare industry by bringing this unfolding methodology into the main programme for discussion and example by design. It will explore new methods and evaluation processes to facilitate quality improvement in patient outcomes. At the heart of the symposium lies the belief that health professionals have much to learn from other industries, such as aviation and engineering.?

?It's there we’ll see notable contributions from Professor Pierre Barker ?and?Professor Jan Mainz, both of whom raise essential issues in quality improvement:

Jan Mainz is a key member of the International Forum’s Danish Committee, having been involved with the International Forum Copenhagen for many years. He cites the importance of inspiration and networking and stresses the significance of improvement science in healthcare, stating that it could help to solve problems across different countries. Whilst quality improvement is frequently used to address healthcare problems, evidence of its effectiveness remains mixed.?

Mainz emphasises the importance of adhering to basic tenets of the Plan-Do-Study-Act (PDSA) cycle for testing a change in improvement projects and conducting scientific studies to learn from them. He clarifies the difference between quality improvement and improvement science with the example that whilst a hospital improvement project can improve quality in a particular department, improvement science can potentially solve problems in multiple countries. He also highlights the ongoing challenges facing healthcare systems worldwide, such as the burden of chronic disease and preventable patient harm.

“By emphasising the need for improvement science and scientific methods in healthcare, the Science Improvement Symposium and other similar conferences could pave the way for greater collaboration and problem-solving across borders.”

Another leading expert in this field is Professor Pierre Barker, who describes the Science of Improvement as translating clinical evidence into meaningful action in different contexts. Barker believes that the science of improvement helps us adapt evidence to our environment and pay attention to all quality dimensions.

“Whilst the concept is not entirely new, it has recently gained much attention. The Science of Improvement is about finding the most effective way to make changes and systematically examining the best methods and factors to facilitate quality improvement.”

Barker emphasises that it is essential to adapt evidence to the specific setting and that there must be a focus on equity and patient-centric care.

The Science of Improvement is an exciting field that can help healthcare providers improve patient care. By translating clinical evidence into meaningful action in different contexts, healthcare providers can ensure that patients receive the best care.?

The International Forum - Copenhagen's science stream is an excellent opportunity to learn more about the Science of Improvement and how it can be applied to healthcare.?It runs Tuesday and Wednesday from 11 AM each day.

https://internationalforum.bmj.com/copenhagen/programme-overview/???