提高你的智商:13年的儿科住院智商计划经验
Adolfo Leonel Molina1, Michele K Nichols2, Colm P Travers2
1Pediatrics, The University of Alabama at Birmingham Heersink School of Medicine, Birmingham, Alabama, USA amolina@uabmc.edu.
BMJ quality & safety
|August 6, 2025
概括
这项研究通过实施结构化的教育计划,增强了居民参与质量改进 (QI) 项目. 该倡议成功地提高了QI项目的严格性和居民满意度,持续了13年.
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
- 儿科住院培训培训 儿科住院培训
背景情况:
- 质量改进 (QI) 教育是住院医生的强制要求.
- 现有的QI计划往往侧重于知识和态度评估,不太重视客观的项目措施.
- 一个儿科住院计划在2012年发现居民对QI的参与度很低,这促使开发了一个正式的QI教育计划.
研究的目的:
- 增加具有SMART (具体,可衡量,可实现,相关,有时间限制) 目标的居民QI项目百分比.
- 增加QI图的使用,如运行图和统计过程控制 (SPC) 图,在居民QI项目中.
- 评估居民对QI教育计划的满意度.
主要方法:
- 在13年中实施了代干预,从教学课程发展到个性化指导.
- 由一个住宿QI委员会指导,专注于QI核心原则.
- 追踪了QI项目和居民退出调查满意度的客观指标.
主要成果:
- 在2012年至2025年期间,超过300名居民完成了390个QI项目.
- 随着时间的推移,观察到具有SMART目标和QI图表的项目比例大幅增加.
- 增加了提交美国儿科委员会第四部分申请和在会议上提出的项目比例,居民满意度很高.
结论:
- 使用改善模型评估客观措施的QI计划在居住环境中是可行的和有效的.
- 系统的,反复的改进提高了居民QI项目的严谨性.
- 未来的方向包括利用信息技术为项目支持和跟踪患者的结果.
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