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

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 can take up to three years to complete all activities; courses are designed to build on foundational material and experiences.

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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:

By the end of Year 1: PGY1s and first year Fellows will have attended the 4 annual training events in Quality Improvement and Patient Safety focusing on Just Culture, event reporting, adverse events and medical errors, communication tools, and the basics of a Root Cause Analysis.

By the end of Year 2: PGY2s or second year of fellowship will have completed the IHI Basic Certificate in Quality and Safety.

By the end of Year 3 or 4: PGY3 or PGY4 residents and appropriate fellowships will have completed a documented QI/PS project.

Course Description and Educational Objectives by Course:

1. 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
2. Patient Safety Training & 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.
   Measurement/Evaluation
   • P/P-Test, course evaluation and attendance
3. RCA 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. 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.
   Measurement/Evaluation:
   • Course evaluation
   • Pre/post test
   • Reflective statements
4. Wrap-up & QIPS 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
5. Basic Certificate of Completion+3 Additional Patient Safety Modules: 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
   • 3 Additional Courses: PS 201, QI 201, and PS 203
   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
   IHI Basic Certificate +3
6. Resident & Fellow Documented Project Completion
   • Projects in QIPR
   • Projects outlined in program’s APE