Exemplary Care and Learning Sites: A Model for Achieving Continual Improvement in Care and Learning in the Clinical Setting

@article{Headrick2016ExemplaryCA,
  title={Exemplary Care and Learning Sites: A Model for Achieving Continual Improvement in Care and Learning in the Clinical Setting},
  author={Linda A. Headrick and Greg S Ogrinc and Kimberly G. Hoffman and Katherine Stevenson and Marc Shalaby and Albertine S. Beard and Karin Th{\"o}rne and Mary Thoesen Coleman and Karyn D. Baum},
  journal={Academic Medicine},
  year={2016},
  volume={91},
  pages={354 - 359}
}
Problem Current models of health care quality improvement do not explicitly describe the role of health professions education. The authors propose the Exemplary Care and Learning Site (ECLS) model as an approach to achieving continual improvement in care and learning in the clinical setting. Approach From 2008–2012, an iterative, interactive process was used to develop the ECLS model and its core elements—patients and families informing process changes; trainees engaging both in care and the… 
Building the Bridge to Quality: An Urgent Call to Integrate Quality Improvement and Patient Safety Education with Clinical Care.
  • B. WongK. Baum J. Frank
  • Medicine, Political Science
    Academic medicine : journal of the Association of American Medical Colleges
  • 2019
TLDR
A 2-day consensus conference in Niagara Falls, Ontario, Canada, called Building the Bridge to Quality convened an international group of educational and health system leaders, educators, front-line clinicians, learners, and patients to engage in a consensus-building process.
Clinical and Educational Outcomes of an Integrated Inpatient Quality Improvement Curriculum for Internal Medicine Residents.
TLDR
Learning and participating in hands-on QI can be integrated into the usual inpatient work of resident physicians, and this clustered, randomized trial with early and late intervention groups used mixed methods evaluation.
Experiential Learning in Project-Based Quality Improvement Education: Questioning Assumptions and Identifying Future Directions
  • J. GoldmanA. Kuper B. Wong
  • Education
    Academic medicine : journal of the Association of American Medical Colleges
  • 2020
TLDR
Examining stakeholders’ perceptions and experiences of QI project-based learning in 3 advanced longitudinal QI programs contributed to an empirical basis toward more effective experiential learning in QI by identifying factors to target and optimize.
Co-Producing Interprofessional Round Work: Designing Spaces for Patient Partnership
TLDR
This study examines how changes in practices are accomplished in ward rounds, and shows that practice architecture formed co-productive learning rounds, a possible model integrating quality improvement in daily work.
Assessment for Systems Learning: A Holistic Assessment Framework to Support Decision Making Across the Medical Education Continuum.
  • C. BoweE. Armstrong
  • Medicine
    Academic medicine : journal of the Association of American Medical Colleges
  • 2017
TLDR
A systems-based framework is presented for use across the medical education continuum to facilitate timely improvements in individual curriculum components, continuous improvement in overall program performance, and program decision making on changes required to better address society's health care needs.
Learning by Doing and Training Satisfaction: An Evaluation by Health Care Professionals
TLDR
Evaluating the level of satisfaction and impact on quality of care, as perceived by the health care professionals that participated in this training program (Formative Focus), indicates an interesting potential for impact on improvement.
Toward an Interprofessional Mentoring Program in Palliative Care - A Review of Undergraduate and Postgraduate Mentoring in Medicine, Nursing, Surgery and Social Work
TLDR
Despite its context sensitive, goal specific and mentee- and mentor- dependent features, common features in mentoring in medicine, surgery and nursing lay the foundation for a learning theory of interprofessional mentoring that can guide construct effective mentorship programs.
Health Systems Science: The "Broccoli" of Undergraduate Medical Student Education.
  • Jed D. GonzaloG. Ogrinc
  • Medicine, Education
    Academic medicine : journal of the Association of American Medical Colleges
  • 2019
TLDR
The authors explore student receptivity challenges, including marginalization of HSS coursework, infancy of the HSS field, relative nascence of curricula and educators, heterogeneity of pedagogies, tensions in students' perceptions of their professional role, and culture of H SS integration.
Learning from errors: assessing final year medical students’ reflection on safety improvement, five year cohort study
TLDR
It is shown that mMERIT can be used by students as part of a suite of feedback to help supplement their self-assessment on their learning needs and develop insightful practice to drive their development of quality, safety and person centred professional practice.
...
...

References

SHOWING 1-10 OF 15 REFERENCES
Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning.
TLDR
The Retooling for Quality and Safety initiative of the Josiah Macy Jr.
What is “quality improvement” and how can it transform healthcare?
TLDR
Improvement is proposed as the combined and unceasing efforts of everyone—healthcare professionals, patients and their families, researchers, payers, planners and educators—to make the changes that will lead to better patient outcomes, better system performance and better professional development.
Exemplary care and learning sites: linking the continual improvement of learning and the continual improvement of care.
Exemplary care and learning sites : Linking the continual improvement of learning and the continual improvement of care
Developing professional knowledge and competence
The Context for Professional Education and Development. Part 1 - Professional Knowledge - Its Character, Development and Use: The Influence of Context on Knowledge Use - What is Learned from
Knowledge Creation through Interactive Research: A Learning Perspective
Knowledge creation through the development of mutually productive forms of collaboration between research and practice, has for a long time been an important issue for researchers as well as
Introduction : On Interactive Research
This article is an introduction to the special issue on interactive research. A short presentation is made of the different articles. A background to the growing interest in interactive research is
The Improvement Guide: A Practical Approach to Enhancing Organizational Performance
TLDR
The slogan for quality improvement is, simply, “all improvements involve changes but not all changes are improvements,” and ENM employs this model and method to teach providers in SBHCs to identify practice changes that will lead to improved patient care and help reduce health care costs.
Transforming Patient Care, Aligning Interprofessional Education With Clinical Practice Redesign
  • Josiah Macy Jr. Foundation
What is "quality improvement" and how can it transform healthcare? Qual Saf Health Care
  • 2007
...
...