Why this service is needed?
Healthcare operates under conditions of high variability, pressure, and responsibility. The lack of clear work standards increases the risk of errors, places a burden on new employees, and affects the quality of care. The TWI method in healthcare enables the creation of simple, practical instructions that support the quick and safe onboarding of staff and increase the consistency and predictability of actions across the entire organization.
What is our role?
- We diagnose processes and identify areas requiring standardization
- We train staff in the TWI Job Instruction methodology – both theoretically and practically.
- We create instructions together with medical and administrative teams.
- We implement the eTWI system for managing documentation and access to instructions.
- We monitor the effects of the implementation and support leaders in maintaining standards.
- We help build a culture of continuous improvement based on TWI methods.
A handful of facts
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medical facilities covered by the TWI implementation
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healthcare workers trained in TWI Job Instruction
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medical instructions developed jointly with nursing and medical teams
Implementation support
We provide support based on the Kata process, which allows us to adapt our activities to the specifics of your organization, taking into account the jointly set goals. The Kata process consists of four key elements that enable effective implementation of assumptions.
We operate according to PDCA
P
PLAN
- We conduct an introductory training session on the TWI program and the role of instructions in the medical environment.
- We diagnose the current methods of onboarding staff and the standards of clinical and administrative work.
- Together with the team, we identify operations critical to the quality and safety of care – applying the Pareto principle.
- We design a schedule for developing instructions and assign responsibilities to leaders and instructors.
- We adapt the TWI methodology to the realities of hospital work – taking into account shifts, rotations, and interdisciplinary collaboration.
D
DO
- We train medical staff in the TWI Job Instruction methodology – step by step, on how to instruct a new employee.
- We develop work instructions together with nursing teams, paramedics, and technical staff.
- We implement the eTWI system for the digital creation and sharing of work instructions in hospitals and clinics.
- We conduct practical workshops on creating instructions that take into account the specifics of working with patients.
C
CHECK
- We verify the quality of the prepared instructions and their compliance with TWI principles as well as occupational health and safety requirements and medical law.
- We gather feedback from instruction users – nurses, doctors, and technicians.
- We check whether the new instructions are actually being used in practice.
- We analyse the impact of TWI implementation on the quality of care, onboarding time, and the number of errors committed.
A
ACT
- We introduce adjustments to the content and format of instructions based on the experiences gathered.
- We expand the implementation to additional departments (e.g., Emergency Department, Operating Theatre, Laboratory).
- We support leaders in strengthening a culture of standardization and continuous improvement.
- We regularly update instructions in the eTWI system in response to changes in procedures and regulations.
Want to learn more? Contact us!
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