The Patient Safety and Quality Improvement (PSQI) Path of Excellence is designed for medical students interested in understanding how to improve care of their patients within complex health care systems. This Path provides students with tools and resources to improve the safety, quality, timeliness, efficiency and satisfaction for patients and providers at every level.
The PSQI Path is a wonderful opportunity for students to learn in real-time some of the very essential and critical quality improvement tools used to make system processes leaner and patient care safer. It’s important to note that such tools are useful not only in medicine but also across multiple other industries and environments, including how we approach challenges and obstacles day to day. Learning these tools can significantly improve one’s analytics skills and problem-solving approaches. I’m excited to share these tools with our medical students and see their impact on improving patient outcomes.
Through this Path, students learn to:
- Understand characteristics of a complex system, and witness first-hand how complexity can affect patient safety and quality of care.
- Understand the role of quality in ensuring consistently good care of one’s patients.
- Understand the concepts and tools involved in a “learning” health system.
- Apply core concepts and tools of safety science to understand why adverse events occur.
- Reduce or eliminate unintended harm to patients while providing care.
- Utilize tools of improvement science, structured problem solving, and “lean thinking,” to improve health care and efficiency within and across individual, unit, and organizational levels.
Michigan Medicine clinical care facilities feature a robust patient safety and quality improvement infrastructure, with many initiatives in practice on a daily basis. Through the PSQI Path, students will access real-world experiences, such as:
- Participating in ongoing clinical safety and quality activities such as daily huddles, worksite visits, and morbidity and mortality conferences in many different departments focusing on safety and quality.
- Becoming members of safety teams and attending meetings at various organizational levels that address patient safety and quality.
- Attending special events and exhibits such as the annual UMHS Quality Month each October featuring presentations and posters about more than 50 institutional PSQI projects, and the annual Center for Healthcare Engineering and Patient Safety or CHEPS Open House presenting quality and safety projects.
- Shadowing UMHS personnel leading or furthering PSQI initiatives including those from the Michigan Quality System, Office of Clinical Affairs, Medical Group, Department of Learning Health Sciences, and CHEPS.
The PSQI Path of Excellence is flexible so that students and their mentors can prioritize the opportunities available in the curriculum according to their individual interests.
Med students are encouraged to join this Path in the winter of M1 year, or may choose to join at the beginning of M3 year. Students will begin developing their Capstone for Impact projects after the M1 year and will complete the projects by the end of the M4 year. These projects will generally involve an effort to improve patient safety or the quality/efficiency of patient care. Students can work individually with a mentor or as part of a team, and also have access to a Capstone for Impact advisor.
PSQI Path of Excellence Leadership
Jawad Al-Khafaji, MD, MSHA, Assistant Professor of Medicine, Michigan Medicine; Clinical Educator, VA Ann Arbor Health System; and Director of the Patient Safety and Quality Improvement Path of Excellence, University of Michigan Medical School
Elise Gross, MD, Assistant Professor of Pediatrics, Michigan Medicine; and Co-Director of the Patient Safety and Quality Improvement Path of Excellence, University of Michigan Medical School