QI / Patient Safety Resources

Books

1. Introductory: Fundamentals of Health Care Improvement: A Guide to Improving Your Patients' Care
2. Comprehensive: The Improvement Guide: A Practical Approach to Enhancing Organizational Performance

Patient Safety Reporting (RL Solutions)

1. RL Solutions Safety Event Reporting Presentation
2. Safety Event Reporting - Interview with YNHHS Manager for Safety and Quality

Outline healthcare QI courses

1. Institute for Healthcare Improvement Open courses
2. Edx free course: Practical Improvement Science in Health Care: A roadmap for getting results

Improvement Frameworks, Tools and Examples

1. QI Toolkit
2. QI Games
3. IHI Case Studies
4. Quality Improvement Knowledge Application Tool (QIKAT)

Publishing in QI and Patient Safety

1. Suggestions
2. SQUIRE guidelines
3. Quality Improvement and Patient Safety Journals

Improvement concept/ QI resource	Brief Description	Example/link to original source
Triple aim (improvement framework)	IHI Triple Aim is a framework developed by the Institute for Healthcare Improvement that describes and approach to optimizing health system performance. Improving the patient experience of care (including the patient experience of care (including quality and satisfaction); Improving the health of populations; and Reducing the per capital cost of health care	Triple Aim Improvement Stories
Model for improvement (framework)	To improve a system/process; define an aim, come up with relevant (outcome and process) measures, suggest a test for change, run iterative Plan-do-study-act (PDSA) cycles, and finally, implement widely.	How to Improve
QI toolkit (article with compilation of tools)	Contains 10 tools to help structure QI efforts Cause and Effect Diagram Driver Diagram Failure Modes and Effects Analysis (FMEA) Flowchart Histogram Pareto Chart PDSA Worksheet Project Planning Form Run Chart & Control Chart Scatter Diagram	Quality Improvement Essential Toolkit

Housestaff QI council

• Vision and Mission
• Working towards a better and safer patient care environment through integration, collaboration, and education.
• Subcommittees
  • Adverse event analysis- RL solutions, root cause analysis (RCA)
  • Administative outreach- netwoking with QI faculty and administration
  • QI toolkit- learning and teaching QI methods
  • Interdepartmental collaboration: Establishing ties between the Yale community from different departments at YNHH as well as beyond the hospital system - School of Management, Public Health
• Participants in Local and National Quality Improvement Movements
  • Joseph A. Zaccagnino (JAZ) Patient Safety and Clinical Quality Improvement Movement
  • Institute for healthcare improvement
  • National Quality Forum
• Hospital resources
• Quality and Patient Safety at YNHH
• RL solution

Common Program Requirements

Patient Safety and Quality Improvement - Graduate medical education must prepare residents to provide the highest level of clinical care with continuous focus on Patient Safety and Quality Improvement

Patient Safety

1. Culture of Safety - The program, its faculty, residents, and fellows must actively participate in patient safety systems and contribute to a culture of safety.
2. Education on Patient Safety - Programs must provide formal educational activities that promote patient safety-related goals, tools, and techniques.
3. Patient Safety Events - Residents, fellows, faculty members, and other clinical staff members must:
   • know their responsibilities in reporting patient safety events at the clinical site;
   • know how to report patient safety events, including near misses, at the clinical site; and,
   • be provided with summary information of their institution’s patient safety reports. (Core)

Quality Improvement - Education in Quality Improvement Residents must receive training and experience in quality improvement processes, including an understanding of health care disparities.

1. Quality Metrics - Residents and faculty members must receive data on quality metrics and benchmarks related to their patient populations.
2. Engagement in Quality Improvement Activities - Residents must have the opportunity to participate in interprofessional quality improvement activities.