Creation of an innovative quality and patient safety curriculum for an emergency medicine residency during covid-19

ABSTRACT

Learning Objectives:Our goal was to create a Quality and Patient Safety Curriculum for EM Residents that included interactive lectures, resident projects, infographic emails, and simulations. This curriculum was developed during COVID-19 and therefore was adapted for virtual and in-person socially distant education. Introduction/Background: The American College of Graduate Medical Education (ACGME) requires residents develop skills to analyze quality assessment methods;identify system errors;and participate in quality improvement projects. When surveyed, 52% of EM residencies had <4 hours/year of quality education and 62% had <4 hours/year of risk education. Educational Objectives: Our goal was to create a Quality and Patient Safety Curriculum for EM Residents that included interactive lectures, resident projects, infographic emails, and simulations. This curriculum was developed during COVID-19 and adapted for virtual and socially distant education. Curricular Design: We created our Quality and Patient Safety curriculum based on initiatives important to our ED, such as sepsis care. We designed 4 main educational programs 1) Quality Corner Weekly, a colorful infographic on quality metrics, new patient safety initiatives, or EMR tips was emailed (Image 1 Example Quality Corners). 2) Monthly Lectures A 45-minute interactive quality lecture was given monthly at conference. Residents were given case-based scenarios followed by an online poll;realtime results were displayed. This was followed by a 1-hour deep-dive on a patient case. 3) Resident Projects Each resident was assigned to a group and focused on a quality metric. The groups were taught how to do a literature review;write an IRB;create a datasheet;and implement a project. 4) Quality Simulations During resident shifts, a chief resident ran quality group and individual case simulations. Impact/Effectiveness Residents completed anonymous surveys. For the residency lectures, 39 of 48 (81%) residents responded-82% stated they were helpful;84.6% learned something new;and 84.6% recommended they be continued. For the Quality Simulations, 28 of 30 (93%) residents responded-100% said they were helpful;93% learned something new;and 100% recommended they be continued.