MS4 Catalog

Patient Safety and Quality

LOCATION: Ruby Memorial Hospital, Morgantown, WV
PRECEPTOR: Chris Dionne, MD
DURATION: 2 or 4 weeks
OFFERED: Continuously
MAXIMUM ENROLLMENT: 2
STATUS: Elective

OBJECTIVES:
This rotation is a 2 or 4 week elective incorporating reading, case analysis, consultation, simulation, presentations and project development in patient safety and quality. Medical students will be educated in multidisciplinary quality and patient safety principles and practices. Learners will also have the opportunity to participate in their choice of a variety of quality and patient safety committees and experiences.

Patient Care:

  1. Collaborate with an interprofessional team (including a variety of hospital committees) to provide preventive, acute, chronic, rehabilitative, and end-of-life care that is patient-focused and cost-effective

Medical Knowledge:

  1. Describe founds of diagnostic methods, therapeutic interventions and prevention with respect to disease processes in individuals and population.

  2. Describe and apply foundational principles of epidemiology, statistics, and ethics to diagnosis and treatment of disease.

  3. Describe scientific method and demonstrate a critical and et'1ical evaluation of basic, epidemiological, clinical and translational research findings and their application to societal problems and acute, chronic rehabilitative, end-of-life and primary care

Practice-Based Learning:

  1. Use information technology appropriately to manage information and support patient care decisions in regards to quality and patient safety.

Communication Skills:

  1. Demonstrate effectively the following communication skills to maintain a professional and safe healthcare environment: negotiation of conflicts within a healthcare team and maintain respect for all members of a healthcare team

Professionalism:

  1. Demonstrate respect, compassion, integrity, and responsiveness in all interactions with inter-professionals, colleagues, patients and their families and society.
  2. Demonstrate honesty, timeliness, punctuality, integrity and accountability in the process of learning and completing professional and clinical responsibilities.

Systems-Based Practice: 

  1. Describe the larger context and system of healthcare and identify how physicians may take a leadership role in its development.
  2. Demonstrate the ability to evaluate and mobilize resources, interpret extant and emerging policies, and identify forces in the healthcare system that influence disparities in health, access to healthcare and promotion of optimal healthcare.
  3. Define the roles of healthcare professionals and demonstrate how inter-professional collaboration improves patient safety, patient-centered outcomes, and system performance.
  4. Describe and distinguish effective methods of organizing, financing, and providing healthcare.
  5. Describe how the prevention and treatment of healthcare disparities may affect individual patients, populations, and the healthcare system.

METHODS TO ACHIEVE OBJECTIVES:

  • Complete assigned reading and case
  • Develop and help complete projects in patient safety and quality.
  • Will attend a variety of experiences throughout their time spent on the rotation. These include: Daily patient safety huddle: Includes all nursing unit managers and directors, ED, pharmacy, physician quality and safety leadership, information technology, materials, facilities, security, linen, EVS, and executive leadership Root Cause Analysis of sentinel events and other high impact patient safety events Quality of Care Committee
  • Monthly review of RCAs and resultant action plans with executive leadership Throughput/Boarding/Capacity
  • Weekly meeting to review hospital transfer and throughput processes Medication Safety Committee: multidisciplinary committee discussion of medication safety events
  • Command center: triage and manage transfer requests, attend bed briefings, review escalations of care, and monthly command center meeting for process improvement
  • CUSP: Comprehensive unit-based safety programs on all hospital units, ED, Chestnut Ridge and ORs.
  • Monthly front-line staff led committees to improve patient safety supported by executive leader and physician champions Service line quality committees
  • Monthly physician led multidisciplinary committees performing I00% mortality review, patient safety event reporting, and QI project development. Areas include Medicine, HVI, ICU, Oncology, Children's, Emergency Medicine, Surgery, and Neurosciences Quality Executive Committee: Monthly review of quality of care committee, CUSP committees, and service line quality committees with executive leadership team.
  • Identify and support high priority quality and patient safety.

EXAMINATION PROCEDURES AND EVALUATION CRITERIA:

FORMATIVE ASSESSMENT:

  • Face-to-face feedback for encounters and assessment

SUMMATIVE ASSESSMENT: 

  • Preceptors will complete an objective based assessment via the e*Value system.  A narrative will be included within e*Value

PRIOR TO THE FIRST DAY OF THE ROTATION:
Please contact Dr. Dionne, cmdionne@hsc.wvu.edu  at least 2 weeks prior to the start of the rotation.