Patient Safety & Quality Improvement

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Objective

Promote a culture of patient safety and continuous quality improvement in healthcare, transforming medicine into a high-reliability organization, by implementing safe, efficient, effective, and equitable solutions.

Secondary Goals

Promote evidence based medicine skills

  • Identify institutional clinical issues / outcomes / protocols
  • Define the clinical question
  • Evaluate literature for potential solutions

Promote quantitative clinical improvement skills

  • Design a study to address the question
  • Implement the study
  • Analyze data
  • Refine the study in context of results

Promote national-level academic participation skills

  • Present the study at conferences
  • Publish the study in journals

Recommended Patient Safety Activities for WashU Residents
(Modified from WashU GME Website)

  1. Attend patient-safety related didactics
  2. Apply patient-safety principles during clinical activities
  3. Participate in Medical error RCA committees
  4. Participate in departmental and hospital PSQI committees
  5. Complete online training for patient safety (as required by GME)
    1. WU Basic Principles of Patient Safety Module
    2. IHI Open School modules
    3. ACP High Care Value

Program Structure for QI projects

1. What qualifies as a QI project?
A clinical question based upon clinical issues / outcomes /protocols that

  • Directly impact patient care
  • Addressed by SMART (specific, measurable, achievable, relevant, timed) intervention
  • Expected to demonstrate measureable improvement

2. What is the structure of a QI Project?

  • A QI project requires sequential progression through the steps defined below
    • Description – clinical problem, outcomes, protocols
    • Analysis of associated factors and literature review
    • Define SMART goals
    • Planned Intervention
    • Planned Monitoring
    • Implementation and Post-intervention outcomes

3. What comprises a QI team?

  • Resident (s) – maximum of 3 per project
  • Faculty QI mentor (s)
  • Facility staff members, including Risk Management

4. What are the resident expectations for QI projects?

  • Complete at least one QI project
  • Present at the PM&R Resident Research & QI Lecture Series
    • Format – based upon the QI Program Form
    • Initial presentation – Define project
    • Subsequent presentations – Present results, modify project per results
  • Poster presentation opportunities include
    • Institutional – PSQI Symposium, Neurology Resident Day
    • National meetings
  • Complete WashU GME PSQI feedback forms

5. What are some of the additional resources available to residents for the project?

  • WashU GME PSQI Steering Committee
  • WashU PM&R Research and QI team

Prateek Grover, MD, PhD – Research & QI Chief Resident
David Carr, MD – Faculty QI Director