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Visualizing Quality Challenges and Using Corrective Refraction to Focus Change

Objective/Background: Quality improvement (QI) initiatives drive change to streamline processes, minimize waste, and improve outcomes. Although QI efforts are commonly applied to medicine, we receive little formal training.  Our workshop will address this knowledge gap by providing attendees with an infrastructure the use educate trainees and other providers about the core components of a QI initiative.

Workshop Agenda: We will provide an overview of QI improvement in industry with application to medicine (15 min).  The remainder of the workshop will be a “hands-on” group effort to address an identified quality issue.  Small group discussions will focus on an “Sticky Note” affinity sort identifying factors/barriers associated with the quality issue (10 min).  The group will share ideas and collaborate to create a cause-effect fishbone diagram and process flow map for the identified quality issue (20 min).  Each small group will then independently identify a proposed process improvement and define core process, outcome, and balancing measures to measure through a plan do study act (PDSA) cycle (15 min).  The workshop will conclude with a discussion of each groups plan and proposed measures (15 min)

Interactive Component:

  1. “Sticky Note” Affinity Sort Brainstorming
  2. Cause-Effect Brainstorming/Creation of Fishbone Diagram
  3. Process Flow Map Brainstorming
  4. Process Improvement Approach/Outcome Assessment Brainstorming
  5. Discussion of Proposed QI Approach and Measures

Take Home Product: Attendees will return to their institutions with a framework and “tool kit” to use to approach QI initiatives and to train medical students and residents. 


Topics: Quality & Safety, UME, GME, Systems-Based Practice & Improvement, Residency Coordinator, Residency Director, Clerkship Director, Faculty, Resident, 2020, Faculty Development Seminar,

General Information

Resident,Faculty,Clerkship Director,Residency Director,Residency Coordinator,
Systems-Based Practice & Improvement,
Quality & Safety,
Clinical Focus

Author Information

Patrick Ramsey, MD; University of Texas Health Science Center at San Antonio/University Health System; Carey Eppes, MD, MPH; Ben Taub Hospital, Baylor College of Medicine

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