1. QI Curriculum 2015 Melanie Donnelly and Alison Brainard

2. AIM of curriculum Over the course of the academic year, residents will perform a root cause analysis of an adverse event/near miss OR obstacles to care, develop a flowchart outlining the process which allowed the event to occur, identify an area for improvement, and develop a quality improvement project (using PDSA methodology) that is ready for implementation with a CA3 leading the project and faculty advisors.

3. This aim will be accomplished in a group of 3 residents (CA3,2,1) and 2 faculty advisors You will meet at times you as a group choose to meet Difficulty setting up meetings? Need faculty sub?

4. Resources $100 stipend- CA3 account to help pay for some food/beverage (CA3 receipt turn in) “toolkit” will be posted on our website sometime this summer to use We will email you the resources at the start of each 2 month time cycle Risk manager, 2 QI hospital nurses to help We will help in any way we can

5. Objectives of curriculum

6. Milestones evaluated Systems based practice 1: Coordination of patient care within the health system Systems based practice 2: Patient safety and quality improvement Practice Based learning and improvement 1: incorporation of quality improvement and patient safety initiatives into personal practice (level 3 now, level 4 in future)

7. Timeline in brief July: roll out/grand rounds for resident July 27- email for them will follow- NEED TO SET UP MEETING FOR SEPT Sept: choose adverse event/obstacle to care, understand problem, begin process map and root cause analysis CA3 WLL EMAIL ADVERSE EVENT/OBSTACLE CHOSEN and “Understanding the Problem” worksheet BY OCTOBER 1 IN SEPTEMBER SET UP NEXT MEETING FOR OCT/NOV Background tools Groups/handbooks Handbook, RCA guidelines, wake up safe article, contributory factors classification, fishbone diagram, RCA investigation process, healthcare matrix

8. Timeline cont. Oct/Nov: Further develop process map and root cause analysis and may choose your area of intervention at this time depending on your specific group MAKE NEXT MEETING FOR JAN/FEB 5 why’s tool, handbook: impact matrix, SMART aim

9. Timeline Jan/Feb- completed RCA, process map Target area for intervention Design QI project using PDSA principles SET NEXT MEETING CA3 SHOULD HAVE ITEMS TO POST ON MEDHUB COMPLETED: RCA, process map, SMART aim Basics of QI article

10. Timeline March/April: continue to fine tune PDSA, organize presentation May: ALL teams should meet in may to practice presentations June 6 2016: final presentations

11. Evaluations will be performed within the team and by you of the team Products will be uploaded to medhub Debrief at end of year to get feedback Possibly survey mid year to get feedback