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. 2019 Nov 15;30(1):197–202. doi: 10.1007/s40670-019-00854-7

Table 1.

Curriculum overview

Session Topic
1 Introduction to quality in healthcare and the Institute for Healthcare Improvement (IHI) Model for Improvement: What does “quality” healthcare look like to you?
2 Create an affinity diagram to select a focus area: What are we trying to accomplish?
3 Develop a process map: What are the steps in this process?
4

Introduction to SMART (Specific, Measurable, Achievable, Relevant and Time-bound) Goals

• Plan to collect baseline data: How do we know we have a problem?

5

Reflect on baseline data and conduct a “Five Whys” Analysis to select changes and establish measures

What change can we make that will result in an improvement? How will we know a change is an improvement?

• Finalize SMART Goal

• Plan for PDSA Cycle 1

6

Test changes

• PDSA Cycle 1: Study, Act

• Plan for PDSA Cycle 2

7

Test changes

• PDSA Cycle 2: Study, Act

• Plan for PDSA Cycle 3

8 Finish PDSA Cycle 3 and start the poster to be presented at local Quality Forum
9 Finish the poster and discuss logistics for presenting at local Quality Forum
10 Wrap-up discussion

This table reflects the revised curriculum based on the evaluation. Session 1 was added to connect the curriculum to the larger context of quality in healthcare. This required removing a session dedicated to discussing overall project progress. Additionally, the time between sessions was shortened to every 2–3 weeks to sustain project momentum

The “Do” step in the Plan, Do, Study, Act (PDSA) cycle is completed by the residents between sessions