Improving patient safety through mandatory quality improvement (QI) education in a family medicine residency programme
Although the American College of Graduate Medical Education (ACGME) requires that medical trainees acquire competencies in patient safety and quality improvement (QI), no standard curriculum exists. We envisaged that a sustainable QI curriculum would be a pragmatic way to improve residents’ skills a...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-02-01
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| Series: | BMJ Open Quality |
| Online Access: | https://bmjopenquality.bmj.com/content/13/1/e002623.full |
| _version_ | 1797222504224260096 |
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| author | Nahid Rianon Shira Goldstein Jude K A des Bordes Samuel Neher |
| author_facet | Nahid Rianon Shira Goldstein Jude K A des Bordes Samuel Neher |
| author_sort | Nahid Rianon |
| collection | DOAJ |
| description | Although the American College of Graduate Medical Education (ACGME) requires that medical trainees acquire competencies in patient safety and quality improvement (QI), no standard curriculum exists. We envisaged that a sustainable QI curriculum would be a pragmatic way to improve residents’ skills and competence in patient safety. Our aim was to develop and evaluate a patient safety-oriented QI curriculum in an established family medicine residency programme. A patient safety curriculum fulfilling ACGME requirements was developed and implemented in a family residency programme. The curriculum comprised didactics, self-paced online modules, experiential learning through individual QI projects, and mortality and morbidity conferences. The programme was evaluated using a survey at the end of its first year. We assessed knowledge on patient safety and QI, confidence in discussing safety concerns with peers, and ability to recognise safety gaps and initiate corrective actions. We also assessed the perception of the programme’s relevance to the residents’ training. All 36 residents participated, 19 completed the evaluation survey. Fifteen (79%) respondents reported learning more about the causes of medical errors, 42% could report safety concerns and 26% could recognise quality gaps. In addition, 58% felt the curriculum increased their confidence in discussing patient safety concerns with peers while 74% found the curriculum very relevant to their training. Some participants described the programme as ‘very productive’. Embedding a QI curriculum into the ongoing residency training may be a realistic approach to training family medicine residents with no prior formal QI training. |
| first_indexed | 2024-03-07T23:03:58Z |
| format | Article |
| id | doaj.art-322a9165dbd241ccbb96f56173e121d7 |
| institution | Directory Open Access Journal |
| issn | 2399-6641 |
| language | English |
| last_indexed | 2024-04-24T13:22:23Z |
| publishDate | 2024-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Quality |
| spelling | doaj.art-322a9165dbd241ccbb96f56173e121d72024-04-04T12:15:10ZengBMJ Publishing GroupBMJ Open Quality2399-66412024-02-0113110.1136/bmjoq-2023-002623Improving patient safety through mandatory quality improvement (QI) education in a family medicine residency programmeNahid Rianon0Shira Goldstein1Jude K A des Bordes2Samuel Neher3Department of Family and Community Medicine, The University of Texas McGovern Medical School, Houston, TX, USADepartment of Family and Community Medicine, The University of Texas McGovern Medical School, Houston, TX, USADepartment of Family and Community Medicine, The University of Texas McGovern Medical School, Houston, TX, USAOffice of Educational Programs, The University of Texas McGovern Medical School, Houston, TX, USAAlthough the American College of Graduate Medical Education (ACGME) requires that medical trainees acquire competencies in patient safety and quality improvement (QI), no standard curriculum exists. We envisaged that a sustainable QI curriculum would be a pragmatic way to improve residents’ skills and competence in patient safety. Our aim was to develop and evaluate a patient safety-oriented QI curriculum in an established family medicine residency programme. A patient safety curriculum fulfilling ACGME requirements was developed and implemented in a family residency programme. The curriculum comprised didactics, self-paced online modules, experiential learning through individual QI projects, and mortality and morbidity conferences. The programme was evaluated using a survey at the end of its first year. We assessed knowledge on patient safety and QI, confidence in discussing safety concerns with peers, and ability to recognise safety gaps and initiate corrective actions. We also assessed the perception of the programme’s relevance to the residents’ training. All 36 residents participated, 19 completed the evaluation survey. Fifteen (79%) respondents reported learning more about the causes of medical errors, 42% could report safety concerns and 26% could recognise quality gaps. In addition, 58% felt the curriculum increased their confidence in discussing patient safety concerns with peers while 74% found the curriculum very relevant to their training. Some participants described the programme as ‘very productive’. Embedding a QI curriculum into the ongoing residency training may be a realistic approach to training family medicine residents with no prior formal QI training.https://bmjopenquality.bmj.com/content/13/1/e002623.full |
| spellingShingle | Nahid Rianon Shira Goldstein Jude K A des Bordes Samuel Neher Improving patient safety through mandatory quality improvement (QI) education in a family medicine residency programme BMJ Open Quality |
| title | Improving patient safety through mandatory quality improvement (QI) education in a family medicine residency programme |
| title_full | Improving patient safety through mandatory quality improvement (QI) education in a family medicine residency programme |
| title_fullStr | Improving patient safety through mandatory quality improvement (QI) education in a family medicine residency programme |
| title_full_unstemmed | Improving patient safety through mandatory quality improvement (QI) education in a family medicine residency programme |
| title_short | Improving patient safety through mandatory quality improvement (QI) education in a family medicine residency programme |
| title_sort | improving patient safety through mandatory quality improvement qi education in a family medicine residency programme |
| url | https://bmjopenquality.bmj.com/content/13/1/e002623.full |
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