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跨专业研究生质量改进课程:5 年实施的结果和经验教训。

An interprofessional postgraduate quality improvement curriculum: results and lessons learned over a 5-year implementation.

机构信息

VA Quality Scholars Program, VA Northeast Ohio Health System, Cleveland, OH, USA.

Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA.

出版信息

Med Educ Online. 2024 Dec 31;29(1):2408842. doi: 10.1080/10872981.2024.2408842. Epub 2024 Oct 7.

Abstract

PROBLEM

Quality Improvement (QI) is interprofessional by nature; however, most academic QI programs occur in silos and do not leverage the opportunity to bring interprofessional learners together.

INTERVENTION

To evaluate QI competencies of physician, nursing, pharmacy, behavioral health, and social work residents after participating in a longitudinal QI curriculum. Lessons learned are shared to guide educators in developing QI curriculum for interprofessional learners.

CONTEXT

Cohorts of graduate students over 5 years participated in a QI curriculum that aligned with each professions' core quality competencies. Residents engaged in didactics and experiential learning in primary care clinics.

IMPACT

All learners ( = 74) demonstrated improvement in QI knowledge measured by the QIKAT-R and applied their skills demonstrated by completion of a QI project presented at the Institute for Healthcare Improvement annual forums. Participation in QI curriculum resulted in knowledge and skill improvement.

LESSONS LEARNED

An experiential QI curriculum is a natural place to bring diverse post-graduate learners together to improve QI knowledge and skills. Successful QI curriculum goals are to (a) align projects with institutional and stakeholder goals, (b) include coaches to promote teamwork and project management, (c) narrow project scope, (d) develop an improvement mindset that failures are learning opportunities, and (e) address needs for data access.

摘要

问题

质量改进(QI)本质上是跨专业的;然而,大多数学术 QI 项目都是孤立存在的,没有利用让跨专业学习者聚集在一起的机会。

干预措施

评估参与纵向 QI 课程后医生、护理、药学、行为健康和社会工作住院医师的 QI 能力。分享经验教训以指导教育工作者为跨专业学习者开发 QI 课程。

背景

5 年来,研究生群体参与了与各专业核心质量能力相一致的 QI 课程。住院医师在初级保健诊所进行理论学习和实践学习。

影响

所有学习者( = 74)在 QI 知识方面都表现出了提高,这是通过 QIKAT-R 测量的,并且通过在改善医疗保健研究所年度论坛上展示的 QI 项目完成来展示他们的技能。参与 QI 课程导致了知识和技能的提高。

经验教训

体验式 QI 课程是将不同的研究生学习者聚集在一起提高 QI 知识和技能的自然场所。成功的 QI 课程目标是:(a) 使项目与机构和利益相关者的目标保持一致,(b) 包括教练以促进团队合作和项目管理,(c) 缩小项目范围,(d) 培养一种失败是学习机会的改进思维模式,以及 (e) 解决数据访问需求。

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