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Using QI Methodology to Improve a Program's QI Curriculum: An Educational Improvement Project.

Courtney M Port1, Kathleen M Donnelly1

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This study developed a quality improvement (QI) curriculum that significantly enhanced resident proficiency and project completion rates. The curriculum successfully improved patient care and demonstrated lasting behavior change in medical professionals.

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Area of Science:

  • Medical Education
  • Quality Improvement Science
  • Healthcare Management

Background:

  • Quality improvement (QI) is crucial for driving meaningful change in healthcare.
  • Existing longitudinal curricula demonstrating sustained impact on patient care and professional behavior are limited.
  • This study addresses the need for effective QI education to enhance resident competency.

Purpose of the Study:

  • To develop and evaluate a comprehensive curriculum aimed at increasing resident proficiency in QI principles.
  • To improve resident performance on the QI Knowledge Application Tool-Revised.
  • To increase the rate of resident-led QI projects completing at least two plan-do-study-act (PDSA) cycles.

Main Methods:

  • The Model for Improvement and sequential PDSA cycles were employed to test and refine curricular components.
  • The curriculum integrated foundational knowledge through modules and didactic workshops.
  • Experiential learning included rapid personal improvement projects and leading multidisciplinary QI initiatives.

Main Results:

  • Resident proficiency in QI principles rose from 44% to 100%.
  • The average score on the QI Knowledge Application Tool-Revised increased from 50% to 94%.
  • QI projects completing at least two PDSA cycles increased from 30% to 100% (P = 0.0005), with all projects demonstrating improvement.

Conclusions:

  • A novel curriculum effectively prepared residents in QI principles and project leadership.
  • The program demonstrated significant positive impacts on patient care outcomes and professional behavior.
  • This study serves as a model for curriculum development and evaluation using QI science principles.