What Every Graduating Resident Needs to Know About Quality Improvement and Patient Safety: A Content Analysis of 26 Sets of ACGME Milestones

Academic Medicine : Journal of the Association of American Medical Colleges
Meghan B Lane-FallLee Ann Riesenberg

Abstract

Quality improvement (QI) and patient safety (PS) are broadly relevant to the practice of medicine, but specialty-specific milestones demonstrate variable expectations for trainee competency in QI/PS. The purpose of this study was to develop a unifying portrait of QI/PS expectations for graduating residents irrespective of specialty. Milestones from 26 residency programs representing the 24 member boards of the American Board of Medical Specialties were downloaded from the Accreditation Council for Graduate Medical Education (ACGME) Web site in 2015. A codebook was generated by in-depth reading of all milestone sets by two authors. Using a content analytic approach, milestones were then coded by a single author, with a 25% sample double coded by another author. Descriptive statistics were used to characterize frequency counts. Of 612 total milestones, 249 (40.7%) made mention of QI/PS. A median 10 milestones per specialty (interquartile range, 5.25-11.75) mentioned QI/PS. There were 446 individual references to QI, 423 references to PS, and another 1,065 references to QI/PS-related concepts, including patient-centered care, cost-effective practice, documentation, equity, handoffs and care transitions, and teamwork. QI/PS referen...Continue Reading

References

Feb 9, 2007·Health Services Research·Elizabeth H BradleyKelly J Devers
Feb 24, 2012·The New England Journal of Medicine·Thomas J NascaTimothy C Flynn
Apr 16, 2013·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Jennifer S MyersJeffrey Wiese
Jan 10, 2014·Journal of Graduate Medical Education·Olle Ten Cate
Aug 1, 2014·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Andrew S Karasick, David B Nash
Oct 30, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Neha PatelJennifer S Myers
Jun 23, 2016·Academic Medicine : Journal of the Association of American Medical Colleges·Elizabeth G BaxleyJason Higginson

❮ Previous
Next ❯

Citations

Jun 11, 2019·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Michael DekhtyarRichard E Hawkins
Jul 6, 2018·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Joshua J DavisMeghan B Lane-Fall
Mar 25, 2020·Journal of General Internal Medicine·Galina GheihmanTracey A Milligan
Jul 10, 2019·World Neurosurgery·Pierre-Louis HénauxLaurent Riffaud
May 27, 2021·Advances in Health Sciences Education : Theory and Practice·John Q YoungPatricia S O'Sullivan

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Richard AminiAlbert Fiorello
Academic Medicine : Journal of the Association of American Medical Colleges
Benjamin KinnearEric Warm
Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Nicholas J JourilesRita K Cydulka
Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Michael S BeesonMary Jo Wagner
© 2022 Meta ULC. All rights reserved