Using a resident-led patient safety quality council to educate future QI leaders

Figures & data

Table 1. Annual survey results on patient safety attitudes

Residents agree or strongly agree with the statement, n (%)
Statement	2014, n = 15	2015, n = 15	2016, n = 14	2017, n = 14	2018, n = 14
Patient safety is a priority in this program	12 (80)	14 (93)	14 (100)	14 (100)	14 (100)
The just culture is emphasized in this program	13 (86)	13 (86)	13 (93)	14 (100)	14 (100)
My level of confidence increased in developing quality improvement projects	–	12 (80)	14 (100)	14 (100)	14 (100)
Participation in safety activities can lead to scholarly projects (posters, abstracts, publications	11 (73)	14 (93)	14 (100)	14 (100)	14 (100)
I think I can make a difference in patient safety at my institution	13 (86)	15 (100)	13 (93)	14 (100)	14 (100)

Table 2. Examples of quality improvement projects and outcomes

QI Project that resulted in abstracts/publications	Outcomes of the project
Standardization and sustainability of the hand-off process (published)	Project resulted in the use of a standardized hand-off process for all residents; this was integrated in the EMR [5]
Addressing delays patient during direct admission process (published)	Project resulted in creation of a triage tool and communication device for admission that bypass the ER [6]
Improve MRI safety screening (published)	Project resulted in improved screening for safe MRI using an automated screening tool in the EMR [7]
Education on team work and communication with nursing staff (published)	Project resulted in implementation of simulation education to enable resident trainees to work in teams with nursing students [8]
Development of an escalation protocol for EMS transport (presented as abstracts to Stony Brook Annual Quality Day 2016, AAMC Integrating Quality meeting 2017)	Project resulted in allowing EMS team to escalate care triage to MICU while in route to hospital
Initiative to decrease the incidence of CAUTI infection (presented as abstract to Stony Brook Annual Quality Day, 2015)	Project resulted in automated pager communication to the provider as a reminder to remove foley catheters
Improving compliance with medication reconciliation presented as abstract to ACGME Annual Meeting, 2015	Project resulted in education reminders and checklist for completion of medication reconciliation

Figure 1. Mean number of abstracts and publications per resident, by year. AQD, Annual Quality Day

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