Developing capable quality improvement leaders (Reprinted from BMJ Quality %26 Safety, vol 21, pg 903-11, 2012)

作者：Kaminski Geraldine M^*; Britto Maria T; Schoettker Pamela J; Farber Stacey L; Muething Stephen; Kotagal Uma R

来源：Postgraduate Medical Journal, 2013, 89(1048): 78-86.

DOI：10.1136/postgradmedj-2012-000890rep

Background/objective: Cincinnati Children%26apos;s Hospital Medical Center created the Intermediate Improvement Science Series ((IS2)-S-2) training course to develop organisational leaders to do improvement, lead improvement and get results on specific projects. %26lt;br%26gt;Design methods: Each multidisciplinary class consists of 25-30 participants and 12 in-class training days over 6 months. Instructional methods include lectures, case studies, interactive application exercises and dialogue, participant reports and assigned readings. Participants demonstrate competence in improvement science by completing a project with improvement in outcome and/or process measures. They present on their projects and receive feedback during each session and one-on-one coaching between sessions. %26lt;br%26gt;Results: Since 2006, 279 participants in 11 classes have completed the (IS2)-S-2 course. Participant evaluations have consistently rated satisfaction, learning, application, impact and value very high. Large and statistically significant changes were observed in pre-course to post-course self-assessment of knowledge of five quality improvement topics. Approximately 85% of the projects demonstrated measurable improvement. At follow-up, 72% of improvement projects were completed and made a part of everyday operations in the participant%26apos;s unit or were the focus of continuing improvement work. Many changes were spread to other units or programmes. Most (88%) responding graduates continued to participate in formal quality improvement efforts and many led other improvement projects. Nearly half of the respondents presented their results at one or more professional conference. %26lt;br%26gt;Conclusions: Through the (IS2)-S-2 course, the authors are developing improvement leaders, accelerating the shift in the culture from a traditional academic medical centre to an improvement-focused culture, and building cross-silo relationships by developing leaders who understand the organisation as a large system of interdependent subsystems focused on improving health.

• 出版日期2013-2