R Q S C RQSC representation at UW:

RQSC
R e s i d e n t
Q u a l i t y
a n d
S a f e t y
C o m m i t t e e
What is the RQSC?
Volume 1, Issue 1
3.13.2014
The UW Resident Quality and Safety Committee
(RQSC) is responsible for promoting resident participation in multi-disciplinary quality improvement,
patient safety, resident education, and research.
RQSC representation at UW:

Quality Council

Root Cause Analysis

Epic Superuser Group

IMOC Committee



The group meets every other month and consists of
residents from each core residency program as well
as fellow representatives.
Inside this issue:
What is RQSC
1
Primary Care Redesign
UW Safety Committee
1
Ambulatory Care
Improvement Project
Discharge
2
Heathcare Event
Evaluation Team

Discharge Collaborative

Sepsis Project
Collaborative
CLER Visit
2
UW Resident QI
2
Symposium
Culture of Safety
3
Survey
RQSC members participate on many institutional
quality and safety committees as well as QI projects
(see right). Members also participate in a variety of
institutional and departmental quality improvement
projects.
By Sarah Tevis
(stevis@uwhealth.org)
RQSC Members
3
Mark your calendar:
UW Health Safety Committee Kick Off

Collaborative

The UW Health Safety Committee will kick off in spring 2014!
The purpose of the committee
is to participate in the review
and/or evaluation of the services of UWMF and UWHC in
order to help improve the quality and safety of health care
services.
Goals and responsibilities are
outlined in the draft committee
charter pending committee
approval. Two examples include: 1) Provide the safest
possible care in inpatient and
ambulatory settings through a
safety program utilizing both
error prevention and error
recovery strategies. 2) Communicate widely the lessons we
By Linda Buel
(lbuel@uwhealth.org)
4.17.14 UW Resident QI
Symposium
learn as a result of casual analysis of safety events.
Two residents will join inpatient
and ambulatory leadership and
multi-specialty clinicians in
composing the committee.
3.31.14 Launch Discharge

Spring 2014 UW Safety
Committee Launch

June 2014 next RQSC
Newsletter
Page 2
Resident Quality and Safety Committee
Discharge Collaborative Rolls out March 31st!
The Discharge Collaborative is a
multi-disciplinary committee,
which has been working to develop a process for improving
the discharge process at UW
Health. Changes to the discharge
process will roll out on March
31st.
The collaborative was formed
due to poor patient satisfaction
with the discharge process hospital wide. Patient satisfaction
rates have consistently hovered
around 50%, while the goal
satisfaction rate is >85%.
Patients and caregivers are dissatisfied with delays in discharge, inadequate communication surrounding discharge, and
Stay tuned for results from
the 2013 Culture of Safety
Survey
Goals of the collaborative include
improving patient satisfaction by
facilitating more timely discharges and allowing for more coordinated discharge teaching.
Important definitions include:
Anticipated Discharge Date:
Target for patient’s length of
stay. To be discussed with the
patient daily and entered as an
order within 48 hours of admission (if known).
Confirmed Discharge Date and
Time: Date and time of discharge negotiated with the care
team and patient. To be entered
as an order as soon as the discharge date is known, ideally the
day prior to discharge.
This process has been piloted on
D6/5 with encouraging results.
The average time from confirmed discharge time and actual
discharge was 28 minutes and
patient satisfaction with the
discharge process improved.
We realize this is an iterative
process and welcome any feedback as the new process rolls out
March 31st. Please direct any
questions, concerns, or comments to
ndomask@uwhealth.org.
By: Robert Hoffman MD
(rjh@medicine.wisc.edu)
Clinical Learning Environment Review Visit
UW Hospital had a Clinical Learning Environment Review (CLER)
site visit on December 3-5,
2013. The site visit focused on 6
core areas including patient
safety, healthcare quality, supervision, transitions in care, duty
hours/fatigue management and
mitigation, and professionalism.
“All residents
unclear target dates for discharge.
Overall the review committee
was impressed with the resident’s learning environment and
infrastructure in place for quality
improvement and safety work.
A few areas they highlighted for
improvement included physician
reporting of patient safety
events, improving hand-off communication, and engaging residents in institutional quality and
safety initiatives. Physicians
account for <2% of PSNs filed
and many residents reported
that they were unlikely to report
near misses.
Future efforts will focus on: PSN
submissions, hand off standardization, and increasing resident
involvement with quality improvement and safety at
UW. The RQSC will continue to
serve as an advocate and liaison
for resident involvement.
By: Ashley Huth
(ahuth@uwhealth.org)
interested in quality
improvement and
patient safety are
invited to join the
RQSC.”
- Sarah Tevis
http://www.surgery.wisc.edu/resident-quality-improvement-symposium
Please register for this event and submit a poster for QI projects in any phase of
development/implementation. Cash prizes will be awarded for best posters!
By Anne-Lise Maag (amaag@uwhealth.org)
Resident Quality and Safety Committee
Page 3
Culture of Safety Survey 2013
Medical Office/Clinic and Inpatient Culture of Safety surveys
for all of UW Health were conducted at the end of 2013. The
survey asks for employees’ opinions on patient safety issues,
medical error, and event reporting.
The survey identifies strengths
and areas for patient safety
culture improvement, compares
with past survey results and
utilizes the AHRQ national database to conduct external comparisons (>1,000 participating
hospitals).
We use the Agency for
Healthcare Research and Quality
(AHRQ) survey assessment tools,
which was developed in 2004.
Eighty two inpatient surveys and
seventeen medical office surveys
were completed by UW Health
residents which included com-
RQSC Committee Members
ments specific to improvement
recommendations.
The residents’ survey results will
be discussed at an upcoming
Resident Quality and Safety
Council. Look for a summary of
results in an upcoming RQSC
newsletter.
By: Linda Buel
(lbuel@uwhealth.org)
Clean hands, save lives!
Don’t forget hand hygiene!
“Register for the UW
Resident Quality
Improvement
Symposium!”
- Anne-Lise Maag
Any questions or comments regarding RQSC or this
newsletter may be directed to Sarah Tevis
(stevis@uwhealth.org).