How will we know that a change is an improvement?

MAGIC Measurement

MAGIC has seven measures and a measurement platform that are easy to understand and use.

Patient measures

Collect a random sample of patients regularly. They do not need to be the same patients – it is better if they are not. This is to capture a snapshot of current needling practice and patient satisfaction.

  • Needling technique

  • Missed cannulation

  • Patient satisfaction of needling

Unit measures

Percentage of your haemodialysis (HD) population, undergoing HD on a set day (including the day before or after, to include all HD patients). i.e. % of your population as it is today. Taken monthly

  • Rates of AVF/AVG/CVC use

  • Infections

  • Number of AVF/ AVG lost

  • Number of new AVF/AVG

Tips for collecting MAGIC data

      1. Population - Minimum of 10 patients; think about small satellite units (will the same patients keep getting asked the satisfaction question?) ​

      1. How often – once a month​ is recommended

      1. Understand the measurement definitions – what are we collecting​?

      1. Asign a project lead who is responsible for making sure data is collected and inputted into the MAGIC platform​

      1. Share the data collection – if more than one satellite unit is participating in the project, have a spreadsheet on a shared drive for all champions to add data to. This data can be transferred onto the MAGIC Platform by the project lead​

      1. Use the KQuIP support offered, for example attending the monthly peer support meetings​

      1. Learn with others - communicating through a regional WhatsApp group​ has worked well

      1. Print off any charts – display data in your staff room, demonstrate the hard work and improvement ​you have achieved

      1. Share charts during governance meetings to demonstrate improvements​ and highight any challenges

      1. Use data to drive improvements - Use the measurement platform at the beginning of every MAGIC regional meeting to focus the conversations.

        Be consistent – keep to the agreed number of patients and the frequency of data collection​

        KQuIP Programme Manager, North East

        1. Collect patient satisfaction real time – ask the patient to complete before leaving the unit; you won’t get them back

        1. Anonymous patient satisfaction score – appoint a different person to collect the questionnaires form the person who needled/ put a box somewhere where patients can post the completed questionnaires

        1. Unit feedback – encourage patient to explain their score; comments can be helpful for local improvement.

        1. Observation – the person collecting the data should observe the needling technique

        1. Make connections – know who in the unit collects this data already

        1. Be regular – make sure these measures are always collected monthly

        “This data is already collected by the unit and should be easy to find”

        National Project Lead

        1. Use Google Chrome - the platform will only work on this internet browser

        1. Be careful to make sure you are imputing data for the right unit

        1. Manage users – ensure at least 2 leads can add/ manage users for their unit; more people can be added to the platform throughout the project

        1. Sign up – people can sign themselves up to access the platform

        1. Definitions – make sure you understand what you need to collect, use the definitions on the platform

        1. Charts – always look at your charts and ask is this an accurate picture of what’s going on?

        Return to quality improvement in MAGIC

        With thanks to our partner organisations