05.16 Establishing The Role Of General Surgery Chief Resident Of Quality Improvement And Patient Safety

M. W. LaPorta1, S. L. Bachman1, P. Graling1, J. Donovan1, H. A. Prentice1, J. M. Dort1, J. J. Moynihan1, H. D. Reines1 1Inova Fairfax Hospital,Department Of Surgery,Falls Church, VA, USA

Purpose:

Recognizing the increased emphasis on quality improvement and patient safety (QI/PS) and the critical role of surgical residents in providing frontline patient care and documentation, we identified the need for a formal chief resident role to oversee QI/PS on the Surgical service.

Methods:

The Chief Resident of QI/PS role was created during the 2014-15 academic year. This Chief served in the role for one year, and was a member of several Department of Surgery and institutional committees. The Chief’s duties included: developing interventions targeted to areas with opportunity for improvement within the department and the institution, as well as overseeing the QI/PS projects required of each surgical resident. The QI/PS Chief created an institution-wide, multidisciplinary Resident QI/PS Committee which reported to the Graduate Medical Education (GME) Committee as well as a formal residency didactic curriculum based on Quality in Training Initiative (QITI).

Results:

At least six successful initiatives were implemented during the inaugural QI/PS Chief year. A required progress note phrase was implemented in the electronic medical record (EMR) to improve Surgical Care Improvement Program compliance. The EMR phrase was modified to improve communication surrounding discharge planning. A treatment team ‘face-sheet’ was deployed to help patients recognize the members of their care team. An early post-operative Colorectal Mobility Initiative was implemented. The Resident QI/PS Committee, comprised of appointed residents, program directors, institutional officials, and the Director of QI/PS, met six times over the year. The agenda included PS events involving residents, best practices across campus, and preparation for the annual campus GME Quality Symposium. A formal didactic for QI/PS curriculum was created based on the ACS NSQIP QITI guidelines. Additionally, we found a significant increase in resident participation in our institutional GME Quality Symposium; participation increased 3-fold after the creation of the formal role.

Conclusions:

The benefits of a QI/PS Chief include: increased participation of surgical residents in developing solutions to improve patient care quality and PS, identification of new QI/PS issues by an active group of providers with established pathways to enact change, and dissemination of QI/PS issues to a surgical residency by a peer group member. During their tenure, QI/PS Chiefs experience personal growth, advanced QI/PS education, and active engagement and involvement in institutional-wide change. In the coming years this formal role will recognize and build upon surgical residents’ influence in improving patient care on an institutional level.