• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The joint commission journal on quality and patient safety >Linking Residency Training Effectiveness to Clinical Outcomes: A Quality Improvement Approach
【24h】

Linking Residency Training Effectiveness to Clinical Outcomes: A Quality Improvement Approach

机译：将住院医师培训的有效性与临床结果联系起来：一种质量改进方法

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: The Accreditation Council for Graduate Medical Education (ACGME)'s Outcome Project requires training programs to use external measures such as quality of care indicators to assess their effectiveness. A practical, quality improvement (QI) process was implemented at Henry Ford Hospital to enhance the training program's educational effectiveness and clinical outcomes. Methods: A QI process consisting of a modified Plan-Do-Study-Act (PDSA) cycle was applied to residency and fellowship curricula in a medical intensive care unit (MICU). The PDSA activities focused on improving clinical out-comess but also outlined educational goals for residents and fellows, defined teaching methods, and determined assessment methods for the ACGME curricula. The improvement process linked clinical outcomes to specific competency-based educational objectives. Residents and fellows received instruction on QI and applied the new curricula to their clinical training in the MICU. Results: Two of seven MICU clinical outcomes demonstrated initial performance below national benchmarks: iatrogenic pneumothorax rate and sepsis-specific mortality. During the QI process, clinical outcomes in both areas improved. Training program directors used the MICU clinical outcomes as indicators of their programs' educational effectiveness. They also assessed individual trainee performance in QI initiatives through direct observation and review of their written summaries of these projects. Conclusions: Training programs can use hospital-tracked clinical outcomes to analyze their educational strengths and weaknesses and accordingly to enhance their educational curricula. Linking competency-based learning objectives for trainees to the clinical outcomes of their patients can improve physician education and patient care.
机译：背景：研究生医学教育认证委员会（ACGME）的成果项目要求培训计划使用外部措施（例如护理质量指标）来评估其有效性。亨利·福特医院（Henry Ford Hospital）实施了实用的质量改进（QI）过程，以提高培训计划的教育效果和临床效果。方法：将包括修改后的计划-研究-学习-行动（PDSA）周期的QI过程应用于重症监护病房（MICU）的住院医师和团契课程。 PDSA活动的重点是改善临床成绩，但也概述了居民和同伴的教育目标，定义的教学方法以及为ACGME课程确定的评估方法。改善过程将临床结果与基于能力的特定教育目标联系在一起。居民和同伴接受了关于QI的指导，并将新课程应用于MICU的临床培训。结果：七项MICU临床结局中有两项表明其初始性能低于国家基准：医源性气胸发生率和败血症特异性死亡率。在QI过程中，两个方面的临床结果均得到改善。培训计划负责人将MICU的临床结果用作其计划教育效果的指标。他们还通过直接观察和审查他们对这些项目的书面总结，评估了QI计划中学员的绩效。结论：培训计划可以使用医院追踪的临床结果来分析其教育优势和劣势，从而增强其教育课程。将受训人员基于能力的学习目标与其患者的临床结果相联系可以改善医师教育和患者护理。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号