Urology Resident Involvement in Patient Safety and Quality Improvement Activities

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EDUCATION (G BADALATO AND E MARGOLIN, SECTION EDITORS)

Urology Resident Involvement in Patient Safety and Quality Improvement Activities Bryant Van Leeuwen 1 & Jiang Jinfeng 1 & Christopher M. Deibert 1 Accepted: 24 September 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020

Abstract Purpose of Review To assess current urology resident engagement in patient safety and quality improvement (PSQI) and how to improve resident involvement in PSQI. Recent Findings Overall urology resident participation in PSQI is low, especially when compared to other non-surgical residency programs. Multiple methods have been successfully implemented to increase resident participation in PSQI. Summary Patient safety and quality improvement are extremely important to the progression of both urology and the healthcare community. True and meaningful participation in PSQI is lacking for many urology residents. However, there are easily adopted methods to improve resident involvement in this area of healthcare. These methods include direct communication and access between residents and hospital PSQI boards, resident-led safety councils, monetary incentives, formal training, and PSQI resident support teams. Keywords Quality . Resident . Education . Patient safety

Introduction Quality improvement is a process used across environments including manufacturing, business, teaching, sales, and health care. It allows for measured change, small and large, that ultimately affects processes or patients directly. Patient safety maintains an appropriate environment of care that results from safe processes that are patient centered. Training in these areas is required for successful completion of a urology residency and is a lifelong practice. Herein, we explore the graduation requirements, the active role of residents in research, and successful strategies to improve resident engagement in patient safety and quality improvement (PSQI) processes. Urology training remains long and intense. In addition to learning the pathophysiology, medical, and surgical treatment of urologic disease, programs and the residents they instruct have many other requirements for graduation. Specifically,

This article is part of the Topical Collection on Education * Christopher M. Deibert [email protected] 1

Division of Urologic Surgery, University of Nebraska Medical Center, 4400 Emile, SSP 2015B, Omaha, NE 68198-4410, USA

residents must work “in interprofessional teams to enhance patient safety and improve patient care quality” [1]. Common Program Requirements for Urology mandates that “graduate medical education must prepare residents to provide the highest level of clinical care with continuous focus on the safety, individual needs, and humanity of their patients” [2]. Residents must receive training in patient safety and know how to report patient safety events to the institution and do so. Residents must additionally have the opportunity to participate in quality improvement activities and receive related training. However, the min