Institutional Quality Improvement and Patient Safety (QIPS) Three-Year Curriculum

QUICK LINKS: Course Goals by Training Year, Annual Event Offerings (QIPS Orientation, QIPS Didactic and Simulation, RCA Simulation, Wrap-Up QIPS Simulation, IHI Basic Certificate ), Additional Information (Resident and Fellow Documented Project Completion, Program Opt-Out)

Overall Goal: To increase knowledge of key patient safety and quality improvement concepts and principles among residents, fellows, faculty at UFCOM-J through a series of interactive workshops. Trainees have three years to complete all activities where course work and activities are designed to build on foundational material and experiences.

Sign up for IHI Online School

1. Go to www.ihi.org
2. Click on the education tab
3. Select the take course option
4. Click on the create an account link
5. Enter your Name; University of Florida in the School
6. Select UF College of Medicine – Jacksonville from list
7. Enter the institutions address
8. Create a password
9. Select your primary role - student or resident
10. Select your organization type - school
11. Select education type (physician)
12. Select student full time or resident
13. Enter your UF email
14. Enter your graduation year
15. Type of communication from IHI
16. Submit, and you'll receive a confirmation message for creating your account.

Course Goals by Training Year:

All 4 events are offered annually, and all trainees must complete all 4 events by the end of their 2nd year, fellows based on number of training years. IHI+ Modules and the 3 preceding events must be complete to participate in the Wrap-Up QIPS Simulation.

By the end of Year 1: PGY 1's will have attended at least 2 events: Orientation and QIPS Didactics and Simulation.

By the end of Year 2: PGY 2's or second-year fellows will have completed the IHI Basic Certificate in Quality and Safety.

By the end of Year 3 or 4: PGY 3 or PGY 4 residents and appropriate fellowships will have completed a documented QI/PS project.

Annual Event Offerings

QIPS Orientation

All incoming residents and fellows at UF Health Jacksonville participate in an introduction lecture series regarding Just Culture, adverse events and medical errors, safety event reporting, and Wellness.

Educational Objectives: By the end of the course participants will be able to:

1. Identify various types of errors: adverse events, unsafe acts and behaviors.
2. Describe components of a Just Culture.
3. Discuss communication tools used in patient safety.
4. Describe the importance of adverse reporting and the system at UF Health Jax.
5. Discuss the components of wellness and resources available to residents and fellows.

Measurement/Evaluation:

• Course evaluation & attendance

QIPS Didactic and Simulation

An in-depth two-hour small-group training covering the fundamentals of patient safety in a multi-specialty, interprofessional setting.

Educational Objectives: By the end of the course participants will be able to:

1. Apply various communication strategies to increase safe and effective patient care.
2. Demonstrate handoff techniques to increase transitions of care in the clinical setting.
3. Recognize the importance of event reporting and how it is accomplished at UF Health Jax.
4. Practice disclosure of an error to patient/family.

Measurement/Evaluation:

• P/P-Test, course evaluation and attendance

To Sign-Up for this Activity:

1. When dates are announced, an email will be sent to all programs for registration.

Root Cause Analysis and Action Workshop

Participants take part in an interactive Root Cause Analysis event designed to provide experience in utilizing three of four common tools (5- Whys, Cause and Effect Diagram, Failure and Effects Mode Analysis, or flowchart) commonly implemented in the field of quality improvement. Action plans for quality improvement and approaches for implementation are discussed.

Educational Objectives: By the end of the course participants will be able to:

1. Recognize the importance and approaches in verifying a root cause.
2. Identify key components of a Root Cause Analysis.
3. Demonstrate the steps to implementing a Root Cause Analysis.
4. Discuss action plans and approaches for implementation.

Measurement/Evaluation:

• Course evaluation
• Pre/post test
• Reflective statements

To Sign-Up for this Activity:

1. An email will be sent to all programs for registration.

Wrap-Up QIPS Escape Room Simulation

Participants take part in a wrap-up event with risk-management staff designed to review unsafe acts, error reporting, and Just Culture; and to discuss their experiences regarding error reporting and communication openness. This event concludes with simulated error-room.

Educational Objectives:

1. Discuss types of adverse events and proposed methods of why these occur.
2. Discuss harm, unsafe acts, and behaviors and components of a Just Culture.
3. Describe adverse event reporting for UF-health Jax.
4. Identify adverse events.

Measurement/Evaluation:

• Course evaluation
• Error Room data

To Sign-Up for this Activity:

1. When dates are announced, an email will be sent to all programs for registration.

IHI Basic Certificate

By the end of Year Two, all PGY2’s and second year Fellows will have completed the Institute for Healthcare Improvement’s Free Courses:

• 13 modules for Basic Certificate

Educational Objectives and Measurements are outlined in each module and modules are listed below.

• Certificate and reports uploaded into program’s APE

Additional Information/Resources:

• Free access to IHI Modules for students, residents, fellows and faculty
• Claiming Credits for your Completed Program

Additional Information

Resident and Fellow Documented Project Completion

• Projects in QIPR
• Projects outlined in program’s APE

Program Opt-Out

• Programs that wish to apply to opt-out of certain portions of the curriculum must complete the opt-out form.
• You must provide justification and evidence of achieving goals and objectives noted as part of the curriculum that also maps to the CLER Pathways noted below.