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Applying behavioural insight thinking in quality improvement Opportunities and challenges September 2018

Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

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Page 1: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

Applying behavioural insight thinking in quality improvementOpportunities and challenges

September 2018

Page 2: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

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

Page 3: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

Power-up your brain

Page 4: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

Power-up your brain

19.09.1 Behavioural insights and quality improvement

Page 5: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

Do you remember?

• Primacy and recency effects

• Surprise effect

• Repetition effect

• False-memory effect

19.09.18 Behavioural insights and quality improvement

Page 6: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

Introduction to behavioural insights

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A larger ecosphere – COM B

19.09.18 Behavioural insights and quality improvement

Page 8: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

A lack of sufficient processing power

19.09.18 Behavioural insights and quality improvement

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

Page 9: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

We are more Homer than we think

19.09.18 Behavioural insights and quality improvement

Page 10: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

What are behavioural insights?

19.09.18 Behavioural insights and quality improvement

Page 11: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

And you’re telling me this why?

19.09.18 Behavioural insights and quality improvement

Page 12: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

BI speed dating

Page 13: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

Anchoring

19.09.18 Behavioural insights and quality improvement

Page 14: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

Availability heuristic

19.09.18 Behavioural insights and quality improvement

Page 15: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

Confirmation bias

19.09.18 Behavioural insights and quality improvement

Page 16: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

IKEA effect

19.09.18 Behavioural insights and quality improvement

Page 17: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

Applying BI principles to a common QI challenge

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EAST

19.09.18 Behavioural insights and quality improvement

Page 19: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

TEST

•Define the outcomeTarget

•Understand the contextExplore

•Build your interventionSolution

•Test, learn, adaptTrial

19.09.18 Behavioural insights and quality improvement

Page 20: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

Two challenges

19.09.18 Behavioural insights and quality improvement

Page 21: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

What did you come up with?

19.09.18 Behavioural insights and quality improvement

Page 22: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

Salient feedback

19.09.18 Behavioural insights and quality improvement

Page 23: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

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 (%)

Page 24: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

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

Page 25: Applying behavioural insight thinking in quality improvement · Nudge, nudge, nudge 3% 20% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Amount of visitors using hand sanitiser (%) Baseline

What do you need?

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What can we do to embed BI in QI?

19.09.18 Behavioural insights and quality improvement