Kroker-Bode Claudia, Whicker Shari A, Pline Elizabeth R, Morgan Tamela, Gazo Joshua, Rudd Mariah, Musick David W
Internal Medicine Residency, Carilion Clinic and Virginia Tech Carilion School of Medicine, Roanoke, VA, USA.
Departments of Pediatrics and Interprofessionalism, Continuing Professional Development and TEACH (Teaching Excellence Academy for Collaborative Healthcare), Carilion Clinic and Virginia Tech Carilion School of Medicine, Roanoke, VA, USA.
J Community Hosp Intern Med Perspect. 2017 Dec 14;7(6):351-357. doi: 10.1080/20009666.2017.1403830. eCollection 2017.
: Despite the push for resident and faculty involvement in patient safety (PS) and quality improvement (QI), there is limited literature describing programs that train them to conduct PS/QI projects. : To determine the effectiveness of a co-learning PS/QI curriculum. : The authors implemented a co-learning (residents and faculty together) PS/QI curriculum within our general Internal Medicine program over 1 year. The curriculum consisted of two workshops, between-session guidance, and final presentation. The authors evaluated effectiveness by self-assessment of attitude, knowledge, and behavior change and PS/QI project completion. : Thirty-eight of 32 (95%) resident and 8 faculty member participants attended the workshops and 27 of 40 (67%) completed the evaluation. Participants (87-96%) responded favorably regarding workshop effectiveness. The authors found significant improvement in 78% of items pertaining to PS/QI knowledge/skills, but no difference for attitudinal items. The final project evaluation participants rated project content as relevant to learning needs (75%); training as well-organized (75%); faculty mentorship for the project as supportive (75%); and the overall project as excellent or very good (71%). : The authors successfully demonstrated a framework for co-teaching faculty and residents to conduct PS/QI projects. Participants acquired necessary tools to practice in an ever-evolving clinical setting emphasizing a patient-centered and quality-focused environment.
尽管一直在推动住院医师和教职员工参与患者安全（PS）和质量改进（QI），但描述培训他们开展PS/QI项目的课程的文献有限。
为了确定共同学习的PS/QI课程的有效性。
作者在我们的普通内科项目中实施了一项为期1年的共同学习（住院医师和教职员工一起）PS/QI课程。该课程包括两个工作坊、期间指导和最终展示。作者通过对态度、知识和行为改变的自我评估以及PS/QI项目的完成情况来评估有效性。
32名住院医师中的38名（95%）和8名教职员工参加了工作坊，40名参与者中的27名（67%）完成了评估。参与者（87%-96%）对工作坊的有效性给予了积极评价。作者发现与PS/QI知识/技能相关的项目中有78%有显著改进，但态度项目没有差异。最终项目评估的参与者将项目内容评为与学习需求相关（75%）；培训组织良好（75%）；项目的教职员工指导支持有力（75%）；总体项目优秀或非常好（71%）。
作者成功展示了一个共同教授教职员工和住院医师开展PS/QI项目的框架。参与者获得了在不断发展的临床环境中实践所需的工具，该环境强调以患者为中心和以质量为重点。
