The 60-Minute Root Cause Analysis: A Workshop to Engage Interdisciplinary Clinicians in Quality Improvement

Introduction We created a standardized workshop to engage residents in quality improvement (QI) using the root cause analysis model. The workshop allows for a robust learning experience while providing solutions derived from clinicians to address important local problems. No prerequisite knowledge o...

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Main Authors: Lakshman Swamy, Christopher Worsham, Mark J. Bialas, Christa Wertz, David Thornton, Anthony Breu, Matthew Ronan
Format: Article
Language:English
Published: Association of American Medical Colleges 2018-02-01
Series:MedEdPORTAL
Subjects:
Online Access:http://www.mededportal.org/doi/10.15766/mep_2374-8265.10685
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author Lakshman Swamy
Christopher Worsham
Mark J. Bialas
Christa Wertz
David Thornton
Anthony Breu
Matthew Ronan
author_facet Lakshman Swamy
Christopher Worsham
Mark J. Bialas
Christa Wertz
David Thornton
Anthony Breu
Matthew Ronan
author_sort Lakshman Swamy
collection DOAJ
description Introduction We created a standardized workshop to engage residents in quality improvement (QI) using the root cause analysis model. The workshop allows for a robust learning experience while providing solutions derived from clinicians to address important local problems. No prerequisite knowledge or experience is required. Methods The workshop is facilitated by one or more moderators, ideally with experience in QI. An interdisciplinary group of residents, medical students, nurses, and other attendees comprise an audience which actively engages in workshop activities. Facilitators follow a scripted model to teach important patient safety concepts with frequent break-outs for hands-on application of QI tools. During the workshop, participants create a process map and fishbone diagram, as well as develop and critically evaluate novel interventions. Results Over the course of one academic year, the workshop has been implemented 17 times with roughly 25 internal medicine residents in attendance at each workshop. In addition, the workshop was run online for 126 participants with varied exposure to QI techniques. Forty percent of these participants completed a survey indicating that over 89% learned something new, 87% felt they could apply the material to their work, and 95% would recommend the workshop to a colleague. Discussion This 60-minute workshop can provide hands-on QI experience in a standardized format to achieve the dual objectives of teaching QI to clinicians and allowing them to generate innovations. The module can be used for internal case development and trainee participation, but prepared cases are provided for facilitators without the resources for local case development.
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spelling doaj.art-81263561bc384aa687a00cd96a1ff9912022-12-21T20:38:47ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652018-02-011410.15766/mep_2374-8265.10685The 60-Minute Root Cause Analysis: A Workshop to Engage Interdisciplinary Clinicians in Quality ImprovementLakshman Swamy0Christopher Worsham1Mark J. Bialas2Christa Wertz3David Thornton4Anthony Breu5Matthew Ronan6Co-Chief Resident, Quality and Patient Safety, Veterans Affairs Boston Healthcare SystemCo-Chief Resident, Quality and Patient Safety, Veterans Affairs Boston Healthcare SystemClinical Coordinator, Medicine Department, Veterans Affairs Boston Healthcare SystemNurse Manager, Veterans Affairs Boston Healthcare SystemAssistant Professor, Boston University School of MedicineAssistant Professor, Harvard Medical SchoolInstructor in Medicine, Medicine, Harvard Medical SchoolIntroduction We created a standardized workshop to engage residents in quality improvement (QI) using the root cause analysis model. The workshop allows for a robust learning experience while providing solutions derived from clinicians to address important local problems. No prerequisite knowledge or experience is required. Methods The workshop is facilitated by one or more moderators, ideally with experience in QI. An interdisciplinary group of residents, medical students, nurses, and other attendees comprise an audience which actively engages in workshop activities. Facilitators follow a scripted model to teach important patient safety concepts with frequent break-outs for hands-on application of QI tools. During the workshop, participants create a process map and fishbone diagram, as well as develop and critically evaluate novel interventions. Results Over the course of one academic year, the workshop has been implemented 17 times with roughly 25 internal medicine residents in attendance at each workshop. In addition, the workshop was run online for 126 participants with varied exposure to QI techniques. Forty percent of these participants completed a survey indicating that over 89% learned something new, 87% felt they could apply the material to their work, and 95% would recommend the workshop to a colleague. Discussion This 60-minute workshop can provide hands-on QI experience in a standardized format to achieve the dual objectives of teaching QI to clinicians and allowing them to generate innovations. The module can be used for internal case development and trainee participation, but prepared cases are provided for facilitators without the resources for local case development.http://www.mededportal.org/doi/10.15766/mep_2374-8265.10685WorkshopRoot Cause AnalysisQuality ImprovementSystems-Based PracticeLearning EnvironmentQI
spellingShingle Lakshman Swamy
Christopher Worsham
Mark J. Bialas
Christa Wertz
David Thornton
Anthony Breu
Matthew Ronan
The 60-Minute Root Cause Analysis: A Workshop to Engage Interdisciplinary Clinicians in Quality Improvement
MedEdPORTAL
Workshop
Root Cause Analysis
Quality Improvement
Systems-Based Practice
Learning Environment
QI
title The 60-Minute Root Cause Analysis: A Workshop to Engage Interdisciplinary Clinicians in Quality Improvement
title_full The 60-Minute Root Cause Analysis: A Workshop to Engage Interdisciplinary Clinicians in Quality Improvement
title_fullStr The 60-Minute Root Cause Analysis: A Workshop to Engage Interdisciplinary Clinicians in Quality Improvement
title_full_unstemmed The 60-Minute Root Cause Analysis: A Workshop to Engage Interdisciplinary Clinicians in Quality Improvement
title_short The 60-Minute Root Cause Analysis: A Workshop to Engage Interdisciplinary Clinicians in Quality Improvement
title_sort 60 minute root cause analysis a workshop to engage interdisciplinary clinicians in quality improvement
topic Workshop
Root Cause Analysis
Quality Improvement
Systems-Based Practice
Learning Environment
QI
url http://www.mededportal.org/doi/10.15766/mep_2374-8265.10685
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