Presenting and defending a quality improvement plan — OSCE

Station brief (8–10 minutes)

The neonatal unit has a 40% rate of infants receiving antibiotics beyond 48 hours without a proven infection. A registrar has proposed simply "educating everyone and reauditing in a year." The head of department has asked you, the senior registrar, to present a proper quality improvement plan to the unit quality committee and to defend your method. You will be questioned on the aim, the measures, how you would test a change, how you would read the data, and how you would ensure the gains sustain and do not widen an equity gap. Do not invent local mandated targets. [1] [8]