Overcoming the Barriers to Resident Engagement in Quality Improvement Initiatives in Psychiatry

Mitchell, Thomas; Li, Luming

doi:10.1007/s40596-020-01363-1

Cited by 3 publications

(1 citation statement)

References 21 publications

(38 reference statements)

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“…Despite increasing emphasis on QI training by the Accreditation Council for Graduate Medical Education, resident engagement in QI has remained low for a multitude of reasons ( 14 , 15 ). In contrast, resident involvement in clinician educator pathways is high and growing in popularity ( 16 ).…”

Section: Discussionmentioning

confidence: 99%

A Quality Improvement Approach to Modification of a Point-of-Care Ultrasound Curriculum

Gardner

Breitbach²,

Limes³

et al. 2023

ATS Scholar

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Background There is increasing emphasis on resident involvement in quality improvement (QI) efforts, yet resident engagement in QI has remained low for many reasons. Although QI methods are classically applied to clinical processes, there are many opportunities to incorporate QI principles into curricular design and implementation. Objective Demonstrate the utility of QI methods when applied to curricular design and the implementation of a novel point-of-care ultrasound portfolio development and quality assurance program at a large internal medicine residency program. Methods We applied foundational QI methods, including process mapping, plan–do–study–act (PDSA) cycles, time-trap identification, run-chart analysis, and qualitative interviews throughout the curricular design and implementation phases to rapidly identify areas for improvement and perform timely tests of change. Results Fifty-one interns participated in the curriculum, submitting 731 images in the first trimester. Process mapping and submission review revealed that 29% of images were saved to the incorrect digital archive. Resident–reviewer interpretation concordance was present in 80.7% of submissions. In 95.2% of completed quality assurance cards, the same information was provided in the commentary feedback and the evaluator’s checklists, representing a time trap. Interventions included restricting access to image archives and removing redundant fields from quality assurance cards. The time to feedback fell from 69.5 to 6.5 days, demonstrating nonrandom variation via run-chart analysis. Conclusion This pilot study demonstrates the successful application of QI methods to a novel point-of-care ultrasound curriculum. The systematic use of these methodologies in curricular design and implementation allows expeditious curricular improvement. Emphasizing the relevance of QI methods to subject matter beyond clinical processes may increase resident engagement in QI efforts.

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Section: Discussionmentioning

confidence: 99%

A Quality Improvement Approach to Modification of a Point-of-Care Ultrasound Curriculum

Gardner

Breitbach²,

Limes³

et al. 2023

ATS Scholar

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Managing the Culture and Teaching of Patient Safety and Quality Improvement in Psychiatry Residency Training

Hobbs

Young

Kreider

et al. 2022

Graduate Medical Education in Psychiatry

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Use of an Ambient Activity Technology for Long-Term Care Residents With Dementia

Lignos¹,

Donovan²,

Ellis³

et al. 2022

J Gerontol Nurs

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The purpose of the current pilot study was to determine the impact of an ambient activity technology, ABBY ® , on responsive behavior and family visiting in a long-term care (LTC) home. We were also interested in family and staff perceptions of the technology. A mixed methods research study was conducted over a 6-month period and data were collected using standardized measures and focus groups. Although no significant differences were noted in responsive resident behaviors, focus group data showed the ABBY enriched the care environment and provided additional opportunities for families and staff to engage residents. Although the introduction of a new technology can create challenges for staff, with time, these challenges can be overcome. [ Journal of Gerontological Nursing, 48 (1), 35–41.]

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Overcoming the Barriers to Resident Engagement in Quality Improvement Initiatives in Psychiatry

Cited by 3 publications

References 21 publications

A Quality Improvement Approach to Modification of a Point-of-Care Ultrasound Curriculum

A Quality Improvement Approach to Modification of a Point-of-Care Ultrasound Curriculum

Managing the Culture and Teaching of Patient Safety and Quality Improvement in Psychiatry Residency Training

Use of an Ambient Activity Technology for Long-Term Care Residents With Dementia

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