English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Performance Improvement (PI) in health care is defined as “combined and unceasing efforts of everyone - healthcare professionals, patients and their families, researchers, payers, planners and educators - to make the changes that will lead to better patient outcomes, better system performance and better professional development”.1  Emphasis on quality improvement with formal rotations in residency programmes is a recent phenomenon.Our Internal Medicine Training Program based at Sisters of Charity Hospital is a part of the State University of New York at Buffalo (SUNY Buffalo). We have a total of 37 medical residents each year. In 2006, we implemented a four-week rotation titled ‘Performance Improvement Rotation’ and focused on five specific areas: Core measures, Departmental peer review process, Clinical documentation, Patient safety goals and adverse event reporting. The four-week rotation, mandatory for the residents in second year of training, started with an orientation and concluded with a written examination with required performance at 75 percentile.While many programmes have their own curricula for patient safety rotations, in June 2012, the Accreditation Council for Graduate Medical Education (ACGME) established Clinical Learning Environment Review (CLER) as a component of the Next Accreditation System (NAS) in an attempt to focus on patient safety education and quality improvement in training programmes.2,3 ACGME is the body responsible for accrediting the majority of graduate medical training programmes for physicians in the United States. When ACGME established these CLER guidelines, we decided to evaluate and modify the existing curriculum.What was the curriculum?In the review of core measures, residents understood the Centers for Medicare u0026 Medicaid Services (CMS) core measures.4 They performed chart review of patients admitted to the hospital. Core measures are specific clinical measures that, when viewed together, permit an assessment of the quality of care provided in a specific condition, for example, acute myocardial infarction. As a part of Peer Review Process, residents participated in a peer review module to identify and prevent patient safety deficiencies.5 To improve and standardize the documentation, the clinical documentation consultants discussed documentation requirements with chart review on the floors with the residents.6 Patient safety goals component of the rotation was diverse and included verbal order chart review, medication reconciliation, Do Not Use (DNU) abbreviations, patient identification guidelines as defined by Joint Commission on Accreditation of Healthcare Organizations (JCAHO)7 and look alike and sound alike medications. Adverse event reporting exercise had activities like participating in ‘Root Cause Analysis (RCA)’ of few patients.

A multidisciplinary performance improvement rotation in an internal medicine training program