These guides outline a ‘dosing’ approach to embedding quality improvement (QI) skills across an organisation developed by the Institute for Healthcare Improvement and already in use by several NHS trusts. They should be used in conjunction with Developing People, Improving Care, the national framework for action on improvement and leadership development in NHS-funded services. It calls for everyone throughout the system, at all levels, to know about improvement methods and how to use them.
The quality improvement ‘dosing’ principle is derived from the principles used to establish the appropriate dose of a medicine. For example, a group of patients all suffering from high blood pressure and placed on the same medication would not all be given the same dose of blood pressure medicine. Dosage would be based on the patient’s needs.