在大型内科住院计划中制定和实施质量改进课程
Kain Kim1, Bhavin Adhyaru2, Joyce Doyle3
1Division of General Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Journal of medical education and curricular development
|February 14, 2025
概括
这一长达十年的质量改进 (QI) 课程成功地培训了内部医学人员的QI原则和项目领导力. 该计划仍然具有适应性,证明了在居民教育中持续的可行性.
科学领域:
- 医疗教育 医学教育
- 改善医疗保健质量 改善医疗保健质量
- 基于系统的实践.
背景情况:
- 住院计划越来越多地预计将发展医生在质量改进 (QI) 和基于系统的实践方面的能力.
- 认证和认证机构现在强制要求QI知识培训人员.
- 这篇论文详细介绍了十年的经验,在内部医学住院计划中实施了纵向,体验式的QI课程.
研究的目的:
- 描述持续的,纵向的QI课程的实施和结果,用于内科医生.
- 评估居民在QI原则和项目领导方面的能力和知识.
- 评估QI教育在居民连续性诊所环境中整合的可行性和优势.
主要方法:
- 居民参与了互动研讨会和由教师指导的以团队为基础的QI项目.
- 项目通过年底的海报演示进行了正式评估.
- 一个纵向的课程持续了十年 (2007-2016) 随着持续的修改.
主要成果:
- 在2007年至2016年期间,完成了136个QI项目.
- 调查表明,在领导QI项目时,居民的舒适度增加,QI原则的知识增强.
- 该课程已经适应了不断变化的住所结构和COVID-19流行病等外部因素.
结论:
- 整合到居民连续性诊所的绩效改进课程是可行的和有益的.
- 住院人员使用了QI方法来衡量指导方针的遵守,并在临床实践中开发干预措施.
- 该课程在临床住院的要求中促进了QI原则的实际应用.
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