Graduate Medical Education

Quality Improvement & Patient Safety

The Accreditation Council for Graduate Medical Education (ACGME) expects residents to obtain competency in systems-based practice which includes advocating for quality patient care and optimal patient care systems; working in interprofessional teams to enhance patient safety and improve patient care quality; and, participating in identifying system errors and implementing potential systems solutions.

The following are some of our current Quality and Patient Safety Initiatives for residents:

Residents' Yearly Quality Projects:

Hospital-wide Initiatives:

Quality and Patient Safety Training – 100% of residents complete the following training modules available through Healthstream:

Patient Safety Culture Survey 2012 – This survey provides valuable information and insight from staff and physicians allowing for continued improvement of patient safety.

Infection Prevention and Control Education is provided to all new House Staff at orientation annually in June.  Education covered in orientation includes basic principles of Infection Prevention activities including hand hygiene protocols, CDC Isolation Precautions for Specific conditions, Santa Clara County TB isolation, treatment, and discharge protocols, Influenza education, safety device sharps training for syringes, phlebotomy, and  PIV catheters used at SHC.  Also included are State Law mandated measures MRSA patient screening and education, as well as CLIP documentation of line insertion and line necessity.  In addition, this year a large focus of our education will be on the SHC Clinical Effectiveness Project Getting to Zero: Reducing Central Line Associated Bloodstream Infections.  The CLIP( Central Line Insertion Process) and Maintenance Bundle videos will be shown. Supporting documentation from this training is available below:

Other Quality Improvement References:

Duke University Quality Improvement

SHC Department of Medicine QI and Patient Safety Projects

SHC Quality Patient Safety and Effectiveness Committee



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