Resident Engagement in Quality and Safety Rachel R. Kelz, MD, MSCE, FACS Associate Professor of Surgery University of Pennsylvania Philadelphia, PA

Transcription

1 Resident Engagement in Quality and Safety Rachel R. Kelz, MD, MSCE, FACS Associate Professor of Surgery University of Pennsylvania Philadelphia, PA

2 Disclosures Rachel R. Kelz, MD, MSCE, FACS Is funded by a grant from the National Institute on Aging, #1R01AG A1. The content of this presentation does not necessarily represent the official views of the National Institutes of Health.

3 Goal of Quality and Safety: To optimize outcomes and minimize waste in surgery. change the culture of medicine using a grass roots campaign Frontline Providers

4 Goal of Quality and Safety: To optimize outcomes and minimize waste in surgery. You re in a hospital, Nurse Hill. If you collapse from exhaustion, The emergency room is just down the hall... Well Dr. Harris I m afraid you simply care too much. You have compassion fatigue..

5 Goal of Graduate Surgical Education: To produce surgeons that can achieve optimal patient outcomes upon the transition to surgical practice to meet the needs of the United States population

6 Goal of Graduate Medical Education: To produce surgeons that can achieve optimal patient outcomes upon the transition to surgical practice to meet the needs of the United States population Every surgeon was at some point a surgical resident Surgical Residency (254) 5,723 hospitals 135,854 active surgeons Optimal Outcomes

7 Collaboration - Integration Education Quality Research Residents Data Curriculum Collaboration Quality In-Training Initiative (QITI) Practical QI: The Curriculum for Quality In-Training Quality & Safety A handbook for surgical educators and trainees Forward Learning QI Using a Practical Case-Based Format Section 1 Data Surgical Driven QI Section 2 Fundamentals Education of Surgical Quality Improvement Tools Section 3 Clinical QI Measures A collaborative designed to integrate patient centered outcomes into surgical training and unite academic hospitals in the pursuit of optimal patient care

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12 Innovation Housestaff Quality Committee Green Sheet Program ICU Transitions Rebecca L. Hoffman, Jason Saucier, Serena Dasani, Tara Collins, Daniel N. Holena, Meghan Fitzpatrick, Boris Tsypenyuk, NielsD. Martin; Development and implementation of a risk identification tool to facilitate critical care transitions for high-risk surgical patients. Int J Qual Health Care 2017; 29 (3): doi: /intqhc/mzx032 Transfer Policy

13 QI Mentorship Program Year 1: 1) QI Frameworks, Problems and Aims 2) Defining the current state 3) Identifying the root cause Year 2: 1) Designing countermeasures, The PSDA Cycle 2) Metrics and data analysis 3) Implementation strategies

14 M &M Conference - Quality Minute Hoffman RL, Morris JB, Kelz RR. The Quality Minute A New, Brief, and Structured Technique for Quality Improvement Education During the Morbidity and Mortality Conference. JAMA Surg. Published online July 12, doi: /jamasurg

15 Quality Minute

16 Scholarly Activity MrduttMM, Isbell CL, RegnerJL, Hodges BR, Munoz-Maldonado Y, Thomas JS, PapaconstantinouHT. NSQIP-Based Quality Improvement Curriculum for Surgical Residents. Journal of the American College of Surgeons May 1;224(5):

17 Peer Review ReinesHD, TrickeyAW, Donovan J. Morbidity and mortality conference is not sufficient for surgical quality control: Processes and outcomes of a successful attending Physician Peer Review committee. The American Journal of Surgery May 3. Note. This is a sample. It is not the official form for the cited peer review program.

18 Research

19 Residents Leading Quality RLQ Faculty Shout Out

20 How can I do this? Session of Interest: BO15A What Residents Should Know about Policy, Quality Improvement, and Research Sat 22-Jul 1:15-2:30pm Session of Interest: BO21A Surgical residents as leaders in quality and safety Sat 22-Jul 4:45-5:45pm Session of Interest: AB07-09 Resident Education Abstracts Sun 23-Jul 2:30-4:00pm Session of Interest: B001C Quality In-Training Initiative (session focuses onm&m Conference) Mon 24-Jul 8:00-9:15am Session of Interest: GS11 Emotional Intelligence in Quality and Safety Mon 24-Jul 9:30-11:00am

21 Elizabeth Bailey, MD, Med Stuart Blackwood, MD Courtney I. Boodry, MD Paul Colavita, MD J. Scott Cudd, MSN, RN Jean Donovan, RN, MSN Fergal J. Fleming, MD Royd Fukumoto, MD Elizabeth Godshall, MD Christie Good, RN, BSN Niraj J. Gusani, MD Rebecca L. Hoffman, MD Alex Itskovich, MD Ryan M. Juza, MD Clifford Y. Ko, MD, MS Afif N. Kulaylat, MD Will Lancaster, MD Martin Makary, MD, MPH Andrew Marek Rachel L. Medbery, MD Matt Fordham Thank You Education One of Two Established Mechanisms to Sustain Economic Growth and Development and Enrich Society Mehwesh Khalid Christopher B. Mills, MD Kristin Noonan, MD Gail Ortenzi, RN, BSN, CCM H. David Reines, MD Caroline Reinke, MD, MPH, MSHP H. David Reznick, MD Ben Roman, MD, MSHP Greg Sacks, MD Joseph V. Sakran, MD, MPH Mary C. Santos, MD Charles D. Scales, Jr., MD, MSHS Morgan M. Sellers, MD Catherine E. Sharoky, MD Nicholas Sich, MD Allan Siperstein, MD Cynthia D. Smith, MD John Sweeney, MD Larissa K. Temple, MD, MSc Elizabeth Turrentine, PhD Anita A. Volpe, DNP, APRN, FNP Elizabeth C. Wick, MD

22 change the culture of medicine using a grass roots campaign Resident Engagement in Quality and Safety Rachel R. Kelz, MD, MSCE, FACS Associate Professor of Surgery University of Pennsylvania Philadelphia, PA