Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0%...

Applying behavioural insight thinking in quality improvementOpportunities and challenges

September 2018

About the session

19.09.18 Behavioural insights and quality improvement

• Interactive:

✓ discuss and share

✓ practical examples

✓ explore

✓ reflect and identify

• Galvanise, energise, and find a community of like minded

people

Power-up your brain

Power-up your brain

19.09.1 Behavioural insights and quality improvement

Do you remember?

• Primacy and recency effects

• Surprise effect

• Repetition effect

• False-memory effect

19.09.18 Behavioural insights and quality improvement

Introduction to behavioural insights

A larger ecosphere – COM B

19.09.18 Behavioural insights and quality improvement

A lack of sufficient processing power

19.09.18 Behavioural insights and quality improvement

• 11,000,000 bits per second • 40 bits per second

We are more Homer than we think

19.09.18 Behavioural insights and quality improvement

What are behavioural insights?

19.09.18 Behavioural insights and quality improvement

And you’re telling me this why?

19.09.18 Behavioural insights and quality improvement

BI speed dating

Anchoring

19.09.18 Behavioural insights and quality improvement

Availability heuristic

19.09.18 Behavioural insights and quality improvement

Confirmation bias

19.09.18 Behavioural insights and quality improvement

IKEA effect

19.09.18 Behavioural insights and quality improvement

Applying BI principles to a common QI challenge

EAST

19.09.18 Behavioural insights and quality improvement

TEST

•Define the outcomeTarget

•Understand the contextExplore

•Build your interventionSolution

•Test, learn, adaptTrial

19.09.18 Behavioural insights and quality improvement

Two challenges

19.09.18 Behavioural insights and quality improvement

What did you come up with?

19.09.18 Behavioural insights and quality improvement

Salient feedback

19.09.18 Behavioural insights and quality improvement

Defaults

19.09.18 Behavioural insights and quality improvement

20.6%

33.5%

22.8%

43.3%

20.1%

16.1%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

10 tabletprescriptions

11-19 tabletprescriptions

20 tabletprescriptions

Percentage of prescriptions (%)

Nudge, nudge, nudge

3%

20%

67%

0%

10%

20%

30%

40%

50%

60%

70%

80%

Amount of visitors using hand sanitiser (%)

Baseline Placement Sign and placement

19.09.18 Behavioural insights and quality improvement

What do you need?

What can we do to embed BI in QI?

19.09.18 Behavioural insights and quality improvement

Thank youDarshan Patel darshan.patel@health.org.uk

Anya Gopfert anya.gopfert@health.org.uk