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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
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
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. books.google.com
- QI Match(AMC Domain credentials required)qimatch.com
- UW Medicine Patients are First Pillar Goals(UW NetID credentials required)one.uwmedicine.org
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 Scienceswww.iths.org
- Shojania K. Improvement Science Webinar: Achieving synergy between designing and reporting quality improvement projects. The Health Foundation. www.health.org.uk
- The Standards for Quality Improvement Reporting Excellence (SQUIRE)www.squire-statement.org
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 Qualitywww.ahrq.gov
- Association of American Medical Collegeswww.aamc.org
- Department of Health and Human Serviceswww.hhs.gov
- Robert Wood Johnson Foundationwww.rwjf.org
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 Qualityasq.org
- Comprehensive Unit-Based Safety Program (CUSP) Toolkitwww.ahrq.gov
- GOAL/QPCwww.goalqpc.com
- The Health Foundation Improvement Science Webinarswww.health.org.uk
- IHI Quality Improvement Essentials Toolkitwww.ihi.org
- Society of General Internal Medicine Quality Improvement Skills for Reliable Care Coursewww.sgim.org
Specific Tools
- ASQ Fishbone Diagramasq.org
- ASQ Run Chartasq.org
- IHI Cause and Effect Diagramwww.ihi.org
- IHI Pareto Diagramwww.ihi.org
- IHI Plan-Do-Study-Act (PDSA) Worksheetwww.ihi.org
- IHI Run Chart Toolwww.ihi.org
- The Memory Jogger: A Pocket Guide of Tools for Continuous Improvementwww.goalqpc.com
- Safe Surgery Checklist for Developing Checklistswww.projectcheck.org
- Study Designs for PDSA Quality Improvement Researchwww.ncbi.nlm.nih.gov
- Systematic Review of the Application of the Plan-Do-Study-Act Method to Improve Quality in Healthcarequalitysafety.bmj.com
- UW Medicine Analytics Customer Portalone.uwmedicine.org
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
Additionally, you can disseminate your results beyond your institution:
Local Meetings
- American College of Physicians Washington Chapter Meetingswww.acponline.org
- Washington Patient Safety Coalition Conferenceswww.wapatientsafety.org
National Meetings
- AHRQ Research Conferenceswww.ahrq.gov
- America's Essential Hospitals Eventsessentialhospitals.org
- Institute for Healthcare Improvement Conferenceswww.ihi.org
- National Patient Safety Foundation Congresswww.npsf.org
- Society of Hospital Medicine Annual Meetingwww.hospitalmedicine.org
- Society to Improve Diagnosis in Medicine Conferencewww.improvediagnosis.org
- University HealthSystem Consortium Annual Conferencewww.uhc.edu
Quality and Safety Journals
- American Journal of Medical Qualityajm.sagepub.com
- American Journal of Nursing Qualityjournals.lww.com
- BMJ Open Qualityqir.bmj.com
- BMJ Quality and Safetyqualitysafety.bmj.com
- Health Care Management Sciencelink.springer.com
- Implementation Sciencewww.implementationscience.com
- International Journal for Quality in Health Careintqhc.oxfordjournals.org
- International Journal of Health Care Quality Assurancewww.emeraldgrouppublishing.com
- Joint Commission Journal on Quality and Patient Safetywww.jcrinc.com
- Journal for Healthcare Qualityonlinelibrary.wiley.com
- Journal of Nursing Care Qualityjournals.lww.com
- Journal of Patient Safetyjournals.lww.com
- Pediatric Quality and Safetyjournals.lww.com
- Quality in Primary Carewww.imedpub.com
- Quality Management in Health Carejournals.lww.com
- Safety Sciencewww.journals.elsevier.com
Journals that Publish Quality Improvement Work
- Academic Medicinejournals.lww.com
- American Journal of Medicinewww.amjmed.com
- Annals of Family Medicinewww.annfammed.org
- Annals of Internal Medicineannals.org
- BMC Family Practicewww.biomedcentral.com
- BMC Health Service Researchwww.biomedcentral.com
- Education for Health; Change in Learning and Practice (Online only)www.educationforhealth.net
- Emergency Medicine Journalemj.bmj.com
- Family Medicinejournals.stfm.org
- Health Affairswww.healthaffairs.org
- Health Care Management Reviewjournals.lww.com
- Health Expectationswww.wiley.com
- Health Informatics Journaljournals.sagepub.com
- Health and Quality of Life Outcomes (online only)hqlo.biomedcentral.com
- Health Services Researchwww.hsr.org
- Healthcare Benchmarks and Quality Improvementwww.ahcmedia.com
- Healthcare: The Journal of Delivery Science and Innovationwww.journals.elsevier.com
- International Journal of Healthcare Information Systems and Informatics (IJHISI)www.igi-global.com
- Journal of Ambulatory Care Managementjournals.lww.com
- Journal of the American Medical Associationjama.jamanetwork.com
- Journal of Evaluation in Clinical Practice (online only)www.blackwellpublishing.com
- Journal of Family Practicewww.mdedge.com
- Journal of Internal Medicineonlinelibrary.wiley.com
- JAMA Performance Improvementjama.jamanetwork.com
- Journal of General Internal Medicinejgim.org
- Journal of Graduate Medical Educationwww.jgme.org
- The Journal of Healthcare Information Managementwww.himss.org
- Journal of Healthcare Leadershipwww.dovepress.com
- Journal of Hospital Medicinewww.ncbi.nlm.nih.gov
- Journal of Medical Practice Management www.ncbi.nlm.nih.gov
- Lancetwww.thelancet.com
- Medical Decision Makingmdm.sagepub.com
- Medical Educationonlinelibrary.wiley.com
- MGMA Connexion (excellence in medical practice management)www.mgma.com
- Milbank Quarterlywww.milbank.org
- New England Journal of Medicinecdf.nejm.org
- The Patient Experience Journal pxjournal.org
- Pediatric Emergency Carejournals.lww.com
- Pediatrics (Quality Reports)www.aappublications.org
- Postgraduate Medical Journalpmj.bmj.com
- Quality of Life Researchwww.springer.com
- Value in Healthwww.ispor.org
Tips for Manuscript Writing
Project Resources
Local Resources
- QI Project Accelerator
- UW Allergy and Infectious Diseases and Department of Medicine Research Collaboratorysites.uw.edu
- UW Implementation Sciences Training Program (UW-ISTP)blogs.uw.edu
- Health Sciences Risk Managementdepts.washington.edu
- UW Housestaff Quality and Safety Committeewww.uwhqsc.org
- UW Medicine Safety and Quality
National and International Resources
- Agency for Healthcare Research and Quality Patient Safety Networkwww.psnet.ahrq.gov
- The Canadian Medical Protective Association Good Practices Guidewww.cmpa-acpm.ca
- edX Course: Practical Improvement Science in Health Care: A Roadmap for Getting Resultswww.edx.org
- Health and Human Services Quality Improvement www.hrsa.gov
- The Health Foundation Improvement Science Webinarswww.health.org.uk
- Institute for Healthcare Improvement www.ihi.org
- Leading Large Scale Change: A Practical Guidewww.england.nhs.uk
- Training Institute for Dissemination and Implementation Research in Health (TIDIRH) Open Access www.academyhealth.org
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.annals.org
- 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.www.ncbi.nlm.nih.gov
- Hully, SB, Cummings SR, Brownder WS, Grady DG, Newman TB. Designing Clinical Research. LWW; Fourth edition (July 2, 2013). www.amazon.com
- Langley GJ, Moen R, Nolan KM, Nolan TW, Norman CL, Provost LP. The Improvement Guide. Jossey-Bass. Second edition (April 20, 2009).www.amazon.com
- 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.www.ncbi.nlm.nih.gov
- 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.www.ncbi.nlm.nih.gov
- 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.www.ncbi.nlm.nih.gov
- 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.www.ncbi.nlm.nih.gov
- 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.www.ncbi.nlm.nih.gov
- 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.ajm.sagepub.com