Internal Medicine — Transition to Practice

TTP8 Identifying and analyzing system-level safety, quality, or resource stewardship concerns in healthcare delivery

Key Features:
- This task focuses on quality improvement at the level of the system of health care delivery and/or a group of patients. Examples may include: a project, a course of advanced study; longitudinal participation in a patient safety committee.
- It includes the review and analysis of a set of events, or data, to identify potential areas for improvement in health care delivery (which may be related to safety, quality or resource stewardship).
- It focuses on an analysis of the reasons for the gap in desired outcomes, and may include suggestions for processes to improve health care delivery.
- The observation of this EPA requires that the resident complete the analysis, but it is not necessary for the resident to implement or participate in the implementation of any changes.

Assessment Plan:

Review of resident submission by Competence Committee

Resident submission must include all of the following:
- For Project: Summary of data identifying the concern(s) in safety, quality or resource stewardship; Analysis of the human and system factors related to that concern
- For advanced course: syllabus and evidence of participation
- For committee: Summary of participation including examples of the concern(s) in safety, quality or resource stewardship and analysis of the human and system factors related to that concern

Use Form 4.

Milestones

• L 1.1. Participate in a patient safety or quality improvement initiative

• L 1.3. Analyze harmful patient safety incidents and near misses

• L 1.3. Employ a systems-based approach to develop solutions for quality improvement and patient safety issues

• ME 5.1. Identify human and systems factors contributing to patient safety incidents

• S 3.3. Critically evaluate the integrity, reliability, and applicability of health-related research and literature

• ME 5.2. Adopt strategies that promote patient safety and address human and system factors

• P 3.1. Respond to, cope with, and constructively learn from a complaint

• P 4.3. Support colleagues in mitigating the impact of patient safety incidents on personal wellbeing, and responding to these incidents as opportunities for practice improvement