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All health care providers seek to provide the highest quality health care to their patients. Understanding the factors that determine the quality and safety of delivered health care and seeking to improve that quality should be a routine component of clinical practice. Substantial experience now shows that a body of knowledge can be taught that will help enable health care providers to actively engage in improving health care quality and patient safety. For residents and fellows, the ACGME incorporates quality improvement training into its Practice-Based Learning and Improvement (PBLI) and Systems-Based Practice (SBP) competencies. As part of these competencies, the ACGME requires that trainees be taught quality improvement methods and participate in a quality improvement project. These competencies seek to develop skills of practice analysis, ongoing learning, and continuous improvement, and to develop awareness of the larger context of health care delivery systems. Specific language from the ACGME program requirements indicates that trainees should be able to: “systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement”; and “work in inter-professional teams to enhance patient safety and improve patient care quality”.
The goals of the neonatology fellowship quality improvement module are to introduce fellows to key concepts in health care quality and patient safety through a series of didactic exercises as well as active engagement in quality improvement activities and a quality improvement project.
The neonatology fellowship quality improvement module consists of four specific components:
Additional fellowship activities that can support PBLI and SBP experiences include:
The future of pediatrics will be forged by thinking differently, breaking paradigms and joining together in a shared vision of tackling the toughest challenges before us.”