A Scholarly Approach to Quality Improvement
Faculty, housestaff/fellow, and staff contributions in quality and patient safety are essential to the core mission of UW Medicine. In addition, the promotions process can account for your contributions to quality and safety. Use these pages as a resource as you select a project, define your aims and timelines, identify support, collect data, and disseminate your findings. As healthcare practice evolves, you can play a part in the systematic improvement in the quality of care and patient outcomes.
QI Match is a concept that quickly matches people with projects that fit your specialty, eliminating long and desperate searches. Finding collaborators for your own research projects has never been easier.
Steps for project support
The Center is happy to provide support and consultation for scholarly projects around quality improvement, patient safety, and value. Please follow these steps:
Step 1: Read
Read through QI Project Toolkit about selecting a project, defining your aims and timelines, identifying support, collecting data, and disseminating your findings.
Step 2: Email
Email Amelia Chappelle at amchappe@uw.edu with 1) a description of your potential project including background, objective, results, and summary 2) the type of guidance or assistance that would be helpful. A representative from the Center will reach out to you to schedule a consultation meeting with an expert relevant to your needs.
Identify a project
Ready to apply your QI and patient safety knowledge, but need help identifying a project? Use these resources to connect with ongoing projects or find your own:
- Haber, J. Research questions, hypotheses, and clinical questions.
- QI Match (AMC Domain credentials required)
- UW Medicine Patients are First Pillar Goals (UW NetID credentials required)
Once you have a topic area or project in mind, we can help connect you to a local leader for more guidance and unique expertise. If you would like help making that connection, please email a paragraph description of your project idea to Amelia Chappelle.
Design for success
Plan your project carefully to best position you for impact, publication, or other dissemination avenues. Design your project using best practices from the literature, and document your methods as the work takes shape.
- Institute of Translational Health Sciences
- Shojania K. Improvement Science Webinar: Achieving synergy between designing and reporting quality improvement projects. The Health Foundation.
- The Standards for Quality Improvement Reporting Excellence (SQUIRE)
Find Funding
You have a project and thoughts about implementation, now you need the resources to complete it. These organizations have a history of funding quality and safety work:
- Agency for Healthcare Research and Quality
- Association of American Medical Colleges
- Department of Health and Human Services
- Robert Wood Johnson Foundation
Additionally, external funding may not be necessary to complete your quality improvement project. You can address your hospital or unit's goals and utilize their performance improvement, project management, and data infrastructure. UW Medicine offers funding opportunities, like the UW Medicine Patient Safety Innovations Program.
Get to work
Start your project! Here are some helpful resources.
General Resources
- American Society for Quality
- Comprehensive Unit-Based Safety Program (CUSP) Toolkit
- GOAL/QPC
- The Health Foundation Improvement Science Webinars
- IHI Quality Improvement Essentials Toolkit
- Society of General Internal Medicine Quality Improvement Skills for Reliable Care Course
Specific Tools
- ASQ Fishbone Diagram
- ASQ Run Chart
- IHI Cause and Effect Diagram
- IHI Pareto Diagram
- IHI Plan-Do-Study-Act (PDSA) Worksheet
- IHI Run Chart Tool
- The Memory Jogger: A Pocket Guide of Tools for Continuous Improvement
- Safe Surgery Checklist for Developing Checklists
- Study Designs for PDSA Quality Improvement Research
- Systematic Review of the Application of the Plan-Do-Study-Act Method to Improve Quality in Healthcare
- UW Medicine Analytics Customer Portal
Share Results
Disseminate your results, make connections and learn more.
Start locally - share lessons learned and best practices from your project with your unit and institution to make an impact and foster a learning culture. Hospital leadership is interested in the results of your project! Share your project at staff meetings, quality and safety meetings, clinical performance meetings, works in progress meetings, and more. For help with dissemination, send a paragraph about your project to Amelia Chappelle or contact staff at the UW Medicine Center for Clinical Excellence.
Additionally, you can disseminate your results beyond your institution:
Local Meetings
- American College of Physicians Washington Chapter Meetings
- Washington Patient Safety Coalition Conferences
National Meetings
- AHRQ Research Conferences
- America's Essential Hospitals Events
- Institute for Healthcare Improvement Conferences
- National Patient Safety Foundation Congress
- Society of Hospital Medicine Annual Meeting
- Society to Improve Diagnosis in Medicine Conference
- University HealthSystem Consortium Annual Conference
Quality and Safety Journals
- American Journal of Medical Quality
- American Journal of Nursing Quality
- BMJ Open Quality
- BMJ Quality and Safety
- Health Care Management Science
- Implementation Science
- International Journal for Quality in Health Care
- International Journal of Health Care Quality Assurance
- Joint Commission Journal on Quality and Patient Safety
- Journal for Healthcare Quality
- Journal of Nursing Care Quality
- Journal of Patient Safety
- Pediatric Quality and Safety
- Quality in Primary Care
- Quality Management in Health Care
- Safety Science
Journals that Publish Quality Improvement Work
- Academic Medicine
- American Journal of Medicine
- Annals of Family Medicine
- Annals of Internal Medicine
- BMC Family Practice
- BMC Health Service Research
- Education for Health; Change in Learning and Practice (Online only)
- Emergency Medicine Journal
- Family Medicine
- Health Affairs
- Health Care Management Review
- Health Expectations
- Health Informatics Journal
- Health and Quality of Life Outcomes (online only)
- Health Services Research
- Healthcare Benchmarks and Quality Improvement
- Healthcare: The Journal of Delivery Science and Innovation
- International Journal of Healthcare Information Systems and Informatics (IJHISI)
- Journal of Ambulatory Care Management
- Journal of the American Medical Association
- Journal of Evaluation in Clinical Practice (online only)
- Journal of Family Practice
- Journal of Internal Medicine
- JAMA Performance Improvement
- Journal of General Internal Medicine
- Journal of Graduate Medical Education
- The Journal of Healthcare Information Management
- Journal of Healthcare Leadership
- Journal of Hospital Medicine
- Journal of Medical Practice Management
- Lancet
- Medical Decision Making
- Medical Education
- MGMA Connexion (excellence in medical practice management)
- Milbank Quarterly
- New England Journal of Medicine
- The Patient Experience Journal
- Pediatric Emergency Care
- Pediatrics (Quality Reports)
- Postgraduate Medical Journal
- Quality of Life Research
- Value in Health
Tips for Manuscript Writing
Project Resources
Local Resources
- QI Project Accelerator
- UW Allergy and Infectious Diseases and Department of Medicine Research Collaboratory
- UW Implementation Sciences Training Program (UW-ISTP)
- Health Sciences Risk Management
- UW Housestaff Quality and Safety Committee
- UW Medicine Safety and Quality
National and International Resources
- Agency for Healthcare Research and Quality Patient Safety Network
- The Canadian Medical Protective Association Good Practices Guide
- edX Course: Practical Improvement Science in Health Care: A Roadmap for Getting Results
- Health and Human Services Quality Improvement
- The Health Foundation Improvement Science Webinars
- Institute for Healthcare Improvement
- Leading Large Scale Change: A Practical Guide
- Training Institute for Dissemination and Implementation Research in Health (TIDIRH) Open Access
Publications
- Boyer EL. The Scholarship of Teaching: from Scholarship Reconsidered: Priorities of the Professoriate. Coll Teach 1991;39(1):11-13.
- Davidoff F, Batalden P, Stevens D, Ogrinc G, Mooney S. Publication Guidelines for Improvement Studies in Health Care: Evolution of the SQUIRE Project. Ann Int Med. 2008;149:670-76.
- Glassick CE, Huber MT, Maeroff GI, Boyer EL. Scholarship Assessed: Evaluation of the Professoriate San Francisco: Jossey-Bass; 1997.
- Goldmann D. Ten tips for incorporating scientific quality improvement into everyday work. BMJ Qual Saf. 2011;20:i169-i72.
- Hully, SB, Cummings SR, Brownder WS, Grady DG, Newman TB. Designing Clinical Research. LWW; Fourth edition (July 2, 2013).
- Langley GJ, Moen R, Nolan KM, Nolan TW, Norman CL, Provost LP. The Improvement Guide. Jossey-Bass. Second edition (April 20, 2009).
- Pena A. Journal Venues for Safety and Quality Improvement Publications. SGIM Forum. 2011;34(8):10.
- Speroff T. Study designs for PDSA QI Research. Q Manage Health Care. 2004;13.17-32.
- Staiger TO. Capsule Commentary on Stephens et al., Who Needs Inpatient Detox? J Gen Med. 2014;29:647.
- Staiger TO, Mills LM, Wong BM, Levinson W, Bremner WJ, Schleyer AM. Recognizing Quality Improvement and Patient Safety Activities in Academic Promotion in Departments of Medicine: Innovative Language in Promotion Criteria. Am J Med. 2016 Jan 29.
- Stevens JR, Liles EA, Dancel R, Gilchrist M, Kirsch J, DeWalt DA. Who Needs Inpatient Detox? Development and Implementation of a Hopsitalis Protocol for the Evaluation of Patients for Alcohol Detoxification. J Gen Intern Med. 2014;29:587-93.
- Taylor BB. Documenting quality improvement and patient safety efforts: The Quality Portfolio. A statement from the Academic Hospitalist Taskforce. J Gen Intern Med. 2013; 29(1):214-218.
- Taylor M, McNicholas C, Nicolay C, Darzi A, Bell D, Reed J. Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. BMJ Qual Saf. 2014;23:290-8.
- Wong CJ, White AA, Merel SE, Brock DM, Staiger TO. A Cross-Sectional Analysis of Publication Types in Quality Improvement Journals. Am J Med Qual. 2015 Mar 9. pii: 1062860615575547 Epub ahead of print.