Building the Bridge to Quality: An Urgent Call to Integrate Quality Improvement and Patient Safety Education With Clinical Care

Abstract

Building the Bridge to Quality: Speaker: Brian M. Wong, Building the Bridge to Quality Meeting Chair Opening plenary that highlights the urgent need to bridge the quality and safety gap by aligning education and clinical care around a single common goal: high quality safe patient care

Learning by Doing: Practical Strategies to Integrate Resident Education and Quality Improvement Initiatives

“…Current models of QI education are generally not well integrated with the practical flow of clinical care. 10 Preventing the perception of added work and making QI fit in with day-to-day patient care is key for resident engagement and project sustainability. Adding time for QI education and projects appears daunting and impractical when there is already such limited face-to-face patient contact.…”

“…15 Lack of alignment between the 2 groups can lead to inadequate sponsors or leaders for resident QI projects and impede project sustainability, reducing the likelihood of overall project success and dampening resident enthusiasm for future QI work. 10 Involving residents adds clinical relevance to health system initiatives while providing resources and support for QI opportunities identified by residents. Specific GME or health system leadership roles for faculty can help align priorities and make initiatives more sustainable for residents by removing barriers, creating QI curricula, and assisting with faculty development.…”

“…&Ensure institutional and program support of QI fellows or QI chief residents 9 & Recognize and reward resident QI efforts, by hospital leadership attending an annual QI/PS symposium, and consider group financial incentives for residents10 …”

Swimming With Sharks: Teaching Residents Value-Based Medicine and Quality Improvement Through Resident-Pitched Projects

“…5,6 Although national efforts, most notably the Veterans Affairs (VA) Chief Residents in Quality and Patient Safety program and the High Value Practice Academic Alliance, have made strides to bridge the gap between hospital investment in VBM and GME quality improvement (QI) training, curricular innovation is still needed. 7,8 While didactic-based rotations are a common setting to teach health care value and cost-effectiveness, a particularly engaging and lasting way to teach QI and VBM may be through creating and implementing projects to reinforce and cultivate proficiency. 9,10 Inspired by the television show Shark Tank, several institutions have undertaken hosting venture capitalstyle pitch competitions to generate QI projects and educational innovation.…”

Aligning Educational and Hospital Quality Improvement Goals Through the Use of “Shark Tank” Pitches

“…The most novel aspect of this curriculum is the bridge between QI educational efforts and QI hospital systems efforts. The importance of building this bridge between QI education and clinical care was described by Wong et al 3 who concluded that connecting training programs and clinical environments, along with aligning educational and health system priorities, was the only way to accomplish the ultimate goal of achieving improved outcomes for patients. This bridge has continued to be a challenge for many training programs and hospitals, which often work in parallel to teach trainees and improve care.…”