The Effect of a Novel Housestaff Quality Council on Quality and Patient Safety

Authors: Fleischut, Peter M.; Faggiani, Susan L.; Evans, Adam S.; Brenner, Samantha; Liebowitz, Richard S.; Forese, Laura; Kerr, Gregory E.; Lazar, Eliot J.

Source: Joint Commission Journal on Quality and Patient Safety, Volume 38, Number 7, July 2012 , pp. 311-317(7)

Publisher: Joint Commission Resources

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Abstract:

Background: In 2008 New York-Presbyterian Hospital (NYP)/Weill Cornell Medical Center, New York City, the largest not-for-profit, nonsectarian hospital in the United States, created and implemented a novel approach—the Housestaff Quality Council (HQC)—to engaging housestaff in quality and patient safety activities.

Methods: The HQC represented an innovative collaboration between the housestaff, the Department of Anesthesiology, the Division of Quality and Patient Safety, the Office of Graduate Medical Education, and senior leadership. As key managers of patient care, the housestaff sought to become involved in the quality and patient safety decision- and policy-making processes at the hospital. Its members were determined to decrease or minimize adverse events by facilitating multimodal communication, ensuring smart work flow, and measuring outcomes to determine best practices. The HQC, which also included frontline hospital staff or managers from areas such as nursing, pharmacy, and information technology, aligned its initiatives with those of the division of quality and patient safety and embarked on two pro jects—medication reconciliation and use of the electronic medical record. More than three years later, the resulting improvements have been sustained and three new pro jects—hand hygiene, central line–associated bloodstream infections, and patient handoffs—have been initiated.

Conclusions: The HQC model is highly replicable at other teaching institutions as a complementary approach to their other quality and patient safety initiatives. However, the ability to sustain positive momentum is dependent on the ability of residents to invest time and effort in the face of a demanding residency training schedule and focus on specialty-specific clinical and research activities.

Document Type: Research Article

Publication date: July 1, 2012

More about this publication?
  • Published monthly, The Joint Commission Journal on Quality and Patient Safety is a peer-reviewed publication dedicated to providing health professionals with the information they need to promote the quality and safety of health care. The Joint Commission Journal on Quality and Patient Safety invites original manuscripts on the development, adaptation, and/or implementation of innovative thinking, strategies, and practices in improving quality and safety in health care. Case studies, program or project reports, reports of new methodologies or new applications of methodologies, research studies on the effectiveness of improvement interventions, and commentaries on issues and practices are all considered.

    Also known as Joint Commission Journal on Quality Improvement and Joint Commission Journal on Quality and Safety
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