Quality Improvement Virtual Practicum: The QI Simulator

Introduction In recent years, undergraduate and graduate medical education has been rightfully emphasizing education in quality improvement and patient safety (QIPS). However, the best methods for teaching the foundational principles of QIPS and associated skills are unknown. Methods In collaboratio...

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Main Authors: Christopher Worsham, Lakshman Swamy, Amir Gilad, Jodi Abbott
Format: Article
Language:English
Published: Association of American Medical Colleges 2018-01-01
Series:MedEdPORTAL
Subjects:
Online Access:http://www.mededportal.org/doi/10.15766/mep_2374-8265.10670
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author Christopher Worsham
Lakshman Swamy
Amir Gilad
Jodi Abbott
author_facet Christopher Worsham
Lakshman Swamy
Amir Gilad
Jodi Abbott
author_sort Christopher Worsham
collection DOAJ
description Introduction In recent years, undergraduate and graduate medical education has been rightfully emphasizing education in quality improvement and patient safety (QIPS). However, the best methods for teaching the foundational principles of QIPS and associated skills are unknown. Methods In collaboration with the Institute for Healthcare Improvement Open School, we developed an approachable simulation for teams of health care trainees at any level and any discipline. The simulation is based on the investigation of a case regarding a psychiatric patient admitted to a fictional hospital for medical treatment who has eloped. In teams, participants investigate the incident by collecting data and using basic QI principles to brainstorm and design interventions. Participants are guided through this paper-based simulation by QI facilitators who have working knowledge of basic QI principles and techniques. Results The simulation has been successfully used with hundreds of medical students and other health professional trainees. While working in teams, participants gained exposure to patient-safety incident reporting and investigation, process mapping, plan-do-study-act cycles, run charts, intervention design, and interactions with hospital administrators. Surveyed participants reported that they had learned QI principles, gained confidence in their ability to do QI work, and increased their likelihood of leading a QI initiative in the future. Discussion Simulation has become a standard way to teach many clinical topics in undergraduate and graduate medical education, and QIPS should be no exception. This simulation has been shown to be effective in increasing understanding of and interest in QIPS.
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spelling doaj.art-1ccbb7d0891d4253a0299212d17b2ddd2022-12-21T19:14:44ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652018-01-011410.15766/mep_2374-8265.10670Quality Improvement Virtual Practicum: The QI SimulatorChristopher Worsham0Lakshman Swamy1Amir Gilad2Jodi Abbott3Clinical and Research Fellow, Division of Pulmonary and Critical Care Medicine, Massachusetts General HospitalFellow, Department of Pulmonary and Critical Care, Boston University Medical CenterMedical Student, Boston University School of MedicineAssociate Professor, Obstetrics and Gynecology Department, Boston University School of Medicine; Assistant Dean, Office of Academic Affairs for Patient Safety and Quality Improvement Education, Boston University School of MedicineIntroduction In recent years, undergraduate and graduate medical education has been rightfully emphasizing education in quality improvement and patient safety (QIPS). However, the best methods for teaching the foundational principles of QIPS and associated skills are unknown. Methods In collaboration with the Institute for Healthcare Improvement Open School, we developed an approachable simulation for teams of health care trainees at any level and any discipline. The simulation is based on the investigation of a case regarding a psychiatric patient admitted to a fictional hospital for medical treatment who has eloped. In teams, participants investigate the incident by collecting data and using basic QI principles to brainstorm and design interventions. Participants are guided through this paper-based simulation by QI facilitators who have working knowledge of basic QI principles and techniques. Results The simulation has been successfully used with hundreds of medical students and other health professional trainees. While working in teams, participants gained exposure to patient-safety incident reporting and investigation, process mapping, plan-do-study-act cycles, run charts, intervention design, and interactions with hospital administrators. Surveyed participants reported that they had learned QI principles, gained confidence in their ability to do QI work, and increased their likelihood of leading a QI initiative in the future. Discussion Simulation has become a standard way to teach many clinical topics in undergraduate and graduate medical education, and QIPS should be no exception. This simulation has been shown to be effective in increasing understanding of and interest in QIPS.http://www.mededportal.org/doi/10.15766/mep_2374-8265.10670Interprofessional EducationSimulationPatient SafetyQuality ImprovementTeam-Based Teaching
spellingShingle Christopher Worsham
Lakshman Swamy
Amir Gilad
Jodi Abbott
Quality Improvement Virtual Practicum: The QI Simulator
MedEdPORTAL
Interprofessional Education
Simulation
Patient Safety
Quality Improvement
Team-Based Teaching
title Quality Improvement Virtual Practicum: The QI Simulator
title_full Quality Improvement Virtual Practicum: The QI Simulator
title_fullStr Quality Improvement Virtual Practicum: The QI Simulator
title_full_unstemmed Quality Improvement Virtual Practicum: The QI Simulator
title_short Quality Improvement Virtual Practicum: The QI Simulator
title_sort quality improvement virtual practicum the qi simulator
topic Interprofessional Education
Simulation
Patient Safety
Quality Improvement
Team-Based Teaching
url http://www.mededportal.org/doi/10.15766/mep_2374-8265.10670
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