VA Boston Healthcare System, West Roxbury, MA.
Harvard Medical School, Boston, MA.
Am J Med Qual. 2020 Mar/Apr;35(2):171-176. doi: 10.1177/1062860619859076. Epub 2019 Jun 27.
The Clinical Learning Environment Review was created to evaluate quality improvement and patient safety (QIPS) beginning in 2013. Little guidance has been offered on implementing QIPS curricula for residency education. The aim was to provide a model QIPS residency curriculum from VA Boston Healthcare System (VABHS), wherein a chief resident in quality and patient safety (CRQS) participates in a national curriculum implementing skills and concepts locally. The CRQS mentors a patient safety resident with faculty oversight. The program involves case investigations, educational conferences, and experiential learning. Participants are residents from Beth Israel Deaconess Medical Center, Boston Medical Center, and Brigham and Women's Hospital and medical students from Boston University Medical School and Harvard Medical School. Local and national CRQS programs are evaluated. The patient safety rotation is evaluated locally. The local curriculum at VABHS augments the national curriculum and deploys a patient safety education that develops experiential learning skills.
临床学习环境审查于 2013 年开始,旨在评估质量改进和患者安全(QIPS)。对于住院医师教育中的 QIPS 课程实施,几乎没有提供任何指导。目的是提供一个来自 VA 波士顿医疗保健系统(VABHS)的模型 QIPS 住院医师课程,其中一名质量和患者安全首席住院医师(CRQS)参与全国课程,在当地实施技能和概念。CRQS 在教师监督下指导一名患者安全住院医师。该计划涉及案例调查、教育会议和体验式学习。参与者来自贝斯以色列女执事医疗中心、波士顿医疗中心和布莱根妇女医院,以及波士顿大学医学院和哈佛医学院的医学生。对当地和全国的 CRQS 项目进行评估。患者安全轮转在当地进行评估。VABHS 的本地课程补充了国家课程,并开展了患者安全教育,培养了体验式学习技能。