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Updated: Sep 14, 2025

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在外科住院的持续质量改进计划的配方
Krysta M Sutyak1, Terry Fisher2, David H Kim3
1Department of Pediatric Surgery, McGovern Medical School at UTHealth Houston, Houston, Texas; Department of Surgery, McGovern Medical School at UTHealth Houston, Houston, Texas.
Journal of surgical education
|July 19, 2025
概括
一个新的质量改进 (QI) 课程有效地教育了全科医生,增加了他们对QI活动的知识和参与. 这种多方面的方法,包括讲座和实践项目,证明了可行性和成功.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 提高质量 提高科学 提高质量
背景情况:
- 一般外科住院计划需要在质量改进 (QI) 中进行强有力的培训.
- 有效的QI教育对于提高患者安全和医疗保健结果至关重要.
- 现有的课程可能缺乏全面的教学和实践组成部分.
研究的目的:
- 为整体外科医生设计和实施多方面的QI教育课程.
- 分析QI课程在提高居民知识,技能和兴趣方面的有效性.
- 确定在居住计划中成功实施QI课程的关键因素.
主要方法:
- 使用计划-做-学习-行动 (PDSA) 方法在四个学年 (2020-2024) 的前性研究.
- 实施三支课程:教学讲座,居民领导的QI项目和以QI为重点的发病率和死亡率会议.
- 纵向队列评估,在每个PDSA周期结束时进行调查,以评估教育影响和居民参与度.
主要成果:
- 在居民教育QI主题,参与QI活动和了解QI原则方面观察到的改善.
- 居民领导的,教师指导的QI项目成功实施,导致实时QI工作完成.
- 计划-做-学习-行动 (PDSA) 方法论促进了对障碍的适应,例如过渡到虚拟讲座和为QI项目创造受保护的时间.
结论:
- 整合教学和实践元素的多方面的QI课程是一般外科住院计划的可行和有效的.
- 该课程显著提高了居民的知识,舒适度和对质量改善的兴趣.
- 教师支持,居民参与,项目管理和领导力对于成功实施QI课程至关重要.
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