Creating a quality improvement elective for medical house officers - PubMed (original) (raw)

Creating a quality improvement elective for medical house officers

Saul N Weingart et al. J Gen Intern Med. 2004 Aug.

Abstract

The Accreditation Council on Graduate Medical Education (ACGME) requires that house officers demonstrate competencies in "practice-based learning and improvement" and in "the ability to effectively call on system resources to provide care that is of optimum value." Anticipating this requirement, faculty at a Boston teaching hospital developed a 3-week elective for medical house officers in quality improvement (QI). The objectives of the elective were to enhance residents' understanding of QI concepts, their familiarity with the hospital's QI infrastructure, and to gain practical experience with root-cause analysis and QI initiatives. Learners participated in three didactic seminars, joined hospital-based QI activities, conducted a root-cause analysis, and completed a QI project under the guidance of a faculty mentor. The elective enrolled 26 residents in 3 years. Sixty-three percent of resident respondents said that the elective increased their understanding of QI in health care; 88% better understood QI in their own institution.

PubMed Disclaimer

Figures

FIGURE 1

FIGURE 1

Inpatient EKG delivery process.

References

    1. Quality First: Better Health Care for All Americans. Washington, DC: USGPO; 1998. President's Advisory Commission on Consumer Protection and Quality in the Health Care Industry.
    1. Kohn LT, Corrigan JM, Donaldson MS. To Err Is Human: Building a Safer Health System. Washington, DC: National Academy Press; 1999. -PubMed
    1. Committee on the Quality of Healthcare in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001.
    1. Council on Graduate Medical Education. Managed Health Care: Implications for the Physician Workforce and Medical Education (6th report) Washington, DC: U.S. Department of Health and Human Services;; 1995. -PubMed
    1. Pew Health Professions Commission. Health Professions Education and Managed Care: Challenges and Necessary Responses. San Francisco, Calif: University of California, San Francisco; 1995.

Publication types

MeSH terms

LinkOut - more resources