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Performance improvement: getting an early start.

Carlos S Morales¹, Foula Kontonicolas, Anita Ayrandjian Volpe

¹Department of Surgery, Danbury Hospital, Danbury, CT 06810, USA. carlos.morales@wcthealthnetwork.org

Journal of Surgical Education

|November 1, 2012

Summary

A dedicated resident research year focused on quality improvement using programs like the National Surgical Quality Improvement Program (NSQIP) enhances surgical training and patient care. This initiative yielded multiple successful projects and national presentations.

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Area of Science:

Surgical Quality Improvement
Medical Education
Healthcare Management

Background:

The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) and Surgical Care Improvement Program (SCIP) are key tools for enhancing surgical care quality.
Understanding quality measures is crucial for Accreditation Council on Graduate Medical Education (ACGME) competencies.
Surgical resident education requires exposure to quality improvement initiatives like NSQIP and SCIP to prepare future surgeons.

Purpose of the Study:

To evaluate the impact of a dedicated resident research year focused on quality improvement.
To assess the role of the resident champion (RC) position in implementing quality initiatives.
To determine the benefits of integrating quality improvement education into surgical residency.

Main Methods:

A resident champion (RC) position was established for a dedicated research year between PGY-2 and PGY-3.
Residents partnered with NSQIP clinical reviewers to analyze data, develop, implement, and re-examine quality improvement projects.
RCs participated in institutional performance improvement committees.

Main Results:

Numerous performance improvement initiatives and projects were implemented over 24 months.
RC efforts directly resulted in the implementation of these initiatives.
Projects led to multiple presentations at national conferences.

Conclusions:

A dedicated year in performance improvement benefits residents by providing practical knowledge of quality measures.
The institution benefited from multiple projects that significantly improved patient care quality.
The RC role effectively integrates residents into quality improvement processes, enhancing both education and institutional outcomes.