Weigel Charlene, Suen Winnie, Gupte Gouri
1Harvard Medical School, Boston, MA.
Am J Med Qual. 2013 Sep-Oct;28(5):392-9. doi: 10.1177/1062860612474062. Epub 2013 Feb 4.
The overall objective of this initiative was to develop a quality improvement (QI) curriculum using Lean methodology for internal medicine residents at Boston Medical Center, a safety net academic hospital. A total of 90 residents and 8 School of Public Health students participated in a series of four, 60- to 90-minute interactive and hands-on QI sessions. Seventeen QI project plans were created and conducted over a 4-month period. The curriculum facilitated internal medicine residents' learning about QI and development of positive attitudes toward QI (assessed using pre- and post-attitude surveys) and exposed them to an interprofessional team structure that duplicates future working relationships. This QI curriculum can be an educational model of how health care trainees can work collaboratively to improve health care quality.
该倡议的总体目标是为安全网学术医院波士顿医疗中心的内科住院医师开发一门使用精益方法的质量改进（QI）课程。共有90名住院医师和8名公共卫生学院的学生参加了一系列为期四个月、每次60至90分钟的互动式实践QI课程。在四个月的时间里，共制定并实施了17个QI项目计划。该课程促进了内科住院医师对QI的学习，并培养了他们对QI的积极态度（通过态度前后调查进行评估），还让他们接触到一种跨专业团队结构，这种结构类似于未来的工作关系。这一QI课程可以成为医疗保健学员如何合作提高医疗保健质量的教育模式。
