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轮换X:一个创新的质量改进专注的课程,建成内科住院
Alexander Somerville1, Michael Sandhu1, Harvir Singh Gambhir1
1Department of Internal Medicine SUNY Upstate Medical University.
Journal of Brown hospital medicine
|March 3, 2025
概括
内科住院医生发现一种新的质量改善和患者安全课程非常有用. 这一结构化,纵向的计划增强了居民在关键医疗保健质量领域的教育.
科学领域:
- 医学教育 医学教育
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
背景情况:
- 研究生医学教育认证委员会 (ACGME) 要求居民参与质量改善 (QI) 和患者安全 (PS) 计划.
- 医生绩效评估越来越多地包含护理质量和患者体验指标.
- 许多内科住院项目缺乏强大的QI和PS课程.
研究的目的:
- 将结构化的QI和PS课程纵向整合到内科住院计划中.
- 加强居民在关键医疗保健质量和安全领域的培训.
- 开发一个可适应的课程,用于QI和PS教育.
主要方法:
- 实施"轮换X",一个强制性的一个星期的纵向课程,为研究生一年1和3居民.
- 包括改善临床文档 (CDI),根源原因分析 (RCA) 和多学科沟通的会议.
- 整合了患者的观点和特定的质量改进主题,如导管相关的尿路感染 (CAUTI).
主要成果:
- 超过80%的老年居民 (PGY-3) 发现关键会议 (例如,心力衰竭/药房,RN-MD,RCA,CDI,CAUTI) 非常或非常有用.
- 超过75%的实习生 (PGY-1) 认为所有会议至少有点有用,超过50%的人认为它们非常或非常有用.
- 该课程得到了实习生和高级居民队伍的好评.
结论:
- 开发的QI和PS课程 ("轮换X") 被成功地集成到内科住院计划中.
- 该课程有效地让居民参与到关键的质量改善和患者安全领域.
- 旋转X是可适应的,可以定制以满足QI和PS教育中的特定计划目标.
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