QI Curriculum

2015Melanie Donnelly and Alison Brainard

AIM of curriculum

• Over the course of the academic year, residents will perform a root cause analysis of an adverse event/near miss OR obstacles to care, develop a flowchart outlining the process which allowed the event to occur, identify an area for improvement, and develop a quality improvement project (using PDSA methodology) that is ready for implementation with a CA3 leading the project and faculty advisors.

• This aim will be accomplished in a group of 3 residents (CA3,2,1) and 2 faculty advisors

• You will meet at times you as a group choose to meet• Difficulty setting up meetings?• Need faculty sub?

Resources

• $100 stipend- CA3 account to help pay for some food/beverage (CA3 receipt turn in)

• “toolkit” will be posted on our website sometime this summer to use

• We will email you the resources at the start of each 2 month time cycle

• Risk manager, 2 QI hospital nurses to help

• We will help in any way we can

Objectives of curriculum

Milestones evaluated

Systems based practice 1: Coordination of patient care within the health system

Systems based practice 2: Patient safety and quality improvement

Practice Based learning and improvement 1: incorporation of quality improvement and patient safety initiatives into personal practice (level 3 now, level 4 in future)

Timeline in brief

• July: roll out/grand rounds for resident July 27- email for them will follow- NEED TO SET UP MEETING FOR SEPT

• Sept: choose adverse event/obstacle to care, understand problem, begin process map and root cause analysis

• CA3 WLL EMAIL ADVERSE EVENT/OBSTACLE CHOSEN and “Understanding the Problem” worksheet BY OCTOBER 1

• IN SEPTEMBER SET UP NEXT MEETING FOR OCT/NOV

• Background tools

• Groups/handbooks

• Handbook, RCA guidelines, wake up safe article, contributory factors classification, fishbone diagram, RCA investigation process, healthcare matrix

Timeline cont.

• Oct/Nov: Further develop process map and root cause analysis and may choose your area of intervention at this time depending on your specific group

• MAKE NEXT MEETING FOR JAN/FEB

• 5 why’s tool, handbook: impact matrix, SMART aim

Timeline

• Jan/Feb- completed RCA, process map• Target area for

intervention• Design QI project

using PDSA principles• SET NEXT MEETING• CA3 SHOULD HAVE

ITEMS TO POST ON MEDHUB COMPLETED: RCA, process map, SMART aim

• Basics of QI article

Timeline

• March/April: continue to fine tune PDSA, organize presentation

• May: ALL teams should meet in may to practice presentations

• June 6 2016: final presentations

• Evaluations will be performed within the team and by you of the team

• Products will be uploaded to medhub

• Debrief at end of year to get feedback

• Possibly survey mid year to get feedback