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在社区基础的整形外科住院中制定质量改进课程
Bernard F Hearon1, Matthew G Van Engen1, Vafa Behzadpour1
1Department of Orthopaedic Surgery, University of Kansas School of Medicine Wichita, Wichita, Kansas.
JB & JS open access
|April 8, 2025
概括
一个由住户领导的质量改进 (QI) 课程有效地使用DMAIC过程培训了骨科住户. 毕业生成功地应用了QI概念,以提高住院后的患者护理.
科学领域:
- 医学教育 医学教育
- 提高质量 提高科学 提高质量
- 整形外科手术培训班 整形外科手术培训班
背景情况:
- 在一个整形外科住院计划中实施了住院主导的质量改进 (QI) 课程.
- 针对医学研究生教育认证委员会 (ACGME) 的QI培训指令.
- 专注于课程演变,居民领导的项目和参与者的感知.
研究的目的:
- 描述一个新型的整形外科住院医生QI课程的发展和影响.
- 在QI框架内评估居民参与和项目成果.
- 评估课程作为教育工具的有效性及其对患者护理的影响.
主要方法:
- 组织了QI团队,包括所有研究生年级的居民.
- 在项目中使用六西格玛定义,测量,分析,改进和控制 (DMAIC) 方法.
- 每年举办6-8次会议,用于QI概念指导和应用.
- 调查了当前居民和最近的毕业生关于他们的课程经验.
主要成果:
- 自2016年以来,居民完成了22个QI项目,其中6个已发表.
- 项目涉及患者护理 (10),专业教育 (10),居民健康 (2).
- 大多数参与者发现课程有效;89%的毕业生在实践中应用了QI概念.
结论:
- 基于DMAIC的课程成功地为居民准备进行QI项目并提高培训质量.
- 该计划满足了ACGME对骨科住院医生的QI能力的要求.
- 毕业生有能力领导QI倡议,提高患者护理超越住院.
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