Our programs teach physicians to lead the health care system in quality improvement (QI) and patient safety, in alignment with the Accreditation Council for Graduate Medical Education (ACGME) Clinical Learning Environment Requirements. Creighton residents and fellows have integrated these concepts into their daily work. Over the last three years, the number of QI projects per year has increased from 21 to 76 projects, with the potential to save the hospital system $8 million a year.
In 2016, the Department of Medicine and the dean sponsored special sessions with a QI expert, Aleece Caron, PhD, from the Cleveland Clinic, to assist faculty and House Staff development in our Graduate Medical Education QI work. Events ranged from grand rounds presentations, QI special sessions with House Staff and, capping off the week, a QI symposium showcasing the projects completed by the House Staff. As Senior Medical Educator at the MetroHealth System, Dr. Caron’s unique background elevated the week’s events.
Quality Improvement Symposium
The Quality Improvement Symposium rounded off the week and showcased the hard work and collective efforts to improve patient safety and quality of care within the hospital system. All of the projects had a significant impact on the work environment of the hospital and, most importantly, the patients we serve.
During the week, the Graduate Medical Education Office and Administration, in conjunction with CHI Health and the Creighton School of Medicine, collaborated to produce the first Multidisciplinary Panel to review potential resident-created quality improvement projects. The panel, which included representation from the hospital administration and quality departments, School of Medicine research and biostatistics experts and system quality leaders and data analysts, reviewed potential QI projects and provided feedback. This will be the model going forward to facilitate integration of the quality improvement process throughout the Graduate Medical Education programs.
The recent QI award winners in the categories below represent some of our residents’ and fellows’ best projects.
Alignment with Hospital Quality Initiatives
Project: Reducing the Incidence of Central Line Associated Blood Stream Infections, Dr. Allen Ameri, Infectious Disease Fellow
Alignment with the Mission of Creighton University
Project: Improving the Incorporation of Spirituality in the Treatment of Mental Health Patients, Dr. Roberto Cervantes, Psychiatry Resident
Evidence Based Guidelines
Project: Mandatory Use of the Wells Score Increases the Positive Yield of Computer Tomography Angiogram for Pulmonary Embolism, Dr. Katherine Harris, Radiology Resident
Reduction of Health Disparities
Project: Improving Metabolic Monitoring with Antipsychotic Use in Child and Adolescent Psychiatry, Dr. Yon Chong, Child Psychiatry Fellow
Project: Improving Access to Mental Health Care in the Refugee Population, Dr. Stuti Bhandari, Psychiatry Resident
High Value Care
Project: Telemetry Use Optimization, Dr. Roy Norris, Internal Medicine Resident
Best Quality Initiative of the Year
Project: Improving Massive Transfusion Protocol Implementation During Obstetric Emergencies at a Level 1 Metropolitan Hospital, Dr. Katie Sekpe, OB-GYN Resident
Project: Increasing Breastfeeding in the NICU: A multidisciplinary approach, Tracy Meyers, RN, BSN, NICU Clinical Educator