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Quality Improvement and Patient Safety

We hope you enjoy the Quality Improvement curriculum! In true QI fashion, it's always changing to better serve your needs. Keep us posted on what works well, and what doesn't! Here are Tina's slides presenting an overview of QI, and just below, find a chart delineating the components of this curriculum.

1. Resident Activities a. Quality Improvement
  • White belt training and "GME Lean Training for Residents": For reference, Access the July 2023 slides here
  • Group QI Project
  • Learn CMC Quality Metrics
  • Participation in a Root Cause Analysis 
b. Patient Safety
  • GME curriculum at intern block conference
c. Health Care Disparities
  • eLearning and MedHub modules
2. Didactics
  • Resident QI Intro
  • GME Lean Training for residents
  • GME Patient Safety Curriculum
3. QI Projects a. Overview: Residents are expected to participate in at least 1 group or individual QI project longitudinally during residency, with the goal of meeting the learning objectives below.  Residents will be introduced to ongoing projects and opportunities for new projects between July and November of their PGY1 year. Residents will “declare” their project by November of PGY1 year (or PGY2 year for Med/Peds). Each project will have a team leader who will coordinate meeting times. Each group will be expected to present at one “check in” per year during monthly QI conferences. Participation in the project will fluctuate during residency as the schedule allows. At least one member of each project team will present at the annual Resident QI and Scholarship day in May.   b. Learning Objectives
  • To describe the key features of a problem statement, and participate in crafting a problem statement
  • To understand the format of a fishbone diagram and perform a root cause analysis
  • To define project goals and develop appropriate tools to measure achievement of the goals
  • To develop implementable countermeasure(s) to help achieve the project goal
  • To outline the components of an A3
  • To participate one or more PDSA cycles
  • To create a run chart and other appropriate figures to display project results
  • To participate in at least one end-of-year slide presentation summarizing your work to peers and faculty
c. Resources/Templates

Past Project Examples:

Project Resident Team Faculty Lead

Post-Partum Depression Screening on the Pediatric Wards

Jordi Morgan, Ariana Perry, Raul Martinez-McFaline, Colby McGinn

Dr. Neal Tyrrell

Safe Admissions Initiative

Samm Rosenblum, Sarah Rajanek, Reshma Sabnani, Feargal Donaghy, Nicole Rodis, Catherine Cattley, Kathryn Burke

Drs. Kate Wynne and Dave Fish

Improving Efficiency of Resident Signout

Kassie Gibbs, Sanjay Chainani, Phil Picard-Fraser

Dr. Tom Guggina

Improving Exclusive Breastfeeding Rates in the UMass Newborn Nursery

Neha Zaer

Dr. Carolyn Keiper

Screening for WIC Eligibility in the Newborn Nursery

April Perez-Moore, Shelby Ballou, Martha Gowaski, Melinda Futran, Brielle Tishler, Melissa Allahua

Drs. Carolyn Keiper and Tina Hermos

Improving Feedback across the Pediatric Residency Experience

Katie Rose, Jordan Alter, Matt Chamberlain, Hayden Peirce 

Dr. Tina Hermos

Infant Safe Sleep Practices on the Wards

Alison Casserly, Coleman Clifford, Marie Hydro, Layana Al-Halbouni, Peter Jordan

Dr. Kate Wynne

Transitional Care for Patients with IBD

Bonnie Cao, Harris Feldman

Dr. Jay Fong

Faculty who are QI trained and interested in helping:

  • Neal Tyrrell (hospitalist)
  • Kate Wynne (hospitalist)
  • Bonnie Mathews (Emergency Medicine)
  • Marc Lieberman (Emergency Medicine)
  • Falgun Wylie (Emergency Medicine)
  • Inbar Plaut (Emergency Medicine)
  • Tina Hermos (Infectious Disease)
  • Leah Evans-Wong (Primary Care/Newborn Nursery)
  • Meg Parker (NICU)
  • Larry Rhein (NICU)
  • Megan Horgan (NICU)
  • Kristen Richard (Pulmonary)
  • Lauren Fortier (PICU)
  • One QI Liaison in each division - speak to Tina