Wise Michelle, Kool Bridget, Sadler Lynn, Peiris-John Roshini, Robb Gillian, Wells Susan
Epidemiology and Biostatistics, School of Public Health, FMHS, University of Auckland, Auckland.
N Z Med J. 2017 Dec 1;130(1466):45-52.
To describe how we incorporate experiential quality improvement (QI) learning at the University of Auckland by integrating a clinical audit project into the Year 6 obstetrics and gynaecology clinical attachment.
Students gain insight into the relevance of QI while engaged in day-to-day clinical work. Students work with a clinical supervisor to identify an area for potential improvement, set a standard of care, measure current practice, investigate reasons for deviation from the standard and make real-world suggestions to close the gap between best evidence and observed practice.
Since 2004, over 1,250 projects have been completed, and two journal articles published. Many of the student projects result in actual improvements to clinical processes of care, and lead to strengthening of academic and service provider learning networks and partnerships.
Performing a hands-on project within the constraints and context of a busy women's health service is a feasible and effective method of teaching QI. Medical schools have an integral role to play in ensuring future healthcare professionals are equipped with QI knowledge, skills and attitudes. Experiential QI learning enhances clinical teaching and training, and is important in preparing future clinicians to incorporate QI into their daily practice.
描述奥克兰大学如何通过将临床审计项目纳入六年级妇产科临床实习来融入体验式质量改进（QI）学习。
学生在日常临床工作中深入了解QI的相关性。学生与临床督导合作，确定潜在改进领域，设定护理标准，衡量当前实践，调查偏离标准的原因，并提出实际建议以缩小最佳证据与观察到的实践之间的差距。
自2004年以来，已完成1250多个项目，并发表了两篇期刊文章。许多学生项目实际改进了临床护理流程，并加强了学术和服务提供者的学习网络及伙伴关系。
在繁忙的妇女健康服务的限制和背景下开展一个实践项目是教授QI的一种可行且有效的方法。医学院在确保未来医疗保健专业人员具备QI知识、技能和态度方面发挥着不可或缺的作用。体验式QI学习可加强临床教学和培训，对于让未来的临床医生将QI融入日常实践非常重要。
