SAUSHEC Pediatric Residency Quality Improvement and Patient Safety (QIPS) Curriculum
59th Medical Wing San Antonio United States
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Two of the core ACGME competencies, practice-based learning improvement and systems-based practice, focus on the concept of quality improvement in medicine. These competencies include processes by which residents learn to evaluate the quality of care at the individual level as well as the systems level There are many obstacles to resident involvement in quality improvement processes, despite the ACGME educational requirements. A 1994 survey of chief residents at Boston City Hospital described little awareness of formal QI processes, but a history of multiple informal projects to improve the quality of resident education and patient care. These physicians underestimated their ability to contribute to the QI process, and cited difficulty in affecting change, Their major challenges were attributed to administrative and communication problems with hospital leadership and nursing staff, as well as a focus on solving individual complaints rather than pervasive process problems.
- Medicine and Medical Research