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Quality Improvement Curriculum

The Quality Improvement (QI) curriculum provides longitudinal training and hands-on experience with quality improvement methods to improve our health care system. Residents participate in the QI curriculum during an optional dedicated Integrated block during their residency.

Past and current projects include:

  • Bedside Ultrasound: The QI team has developed a curriculum for residents to learn basic bedside ultrasound skills and have obtained 3 portable “pocket” ultrasound units for residents to use for training.
  • Hypertension: PMG-NE Clinic patients with Stage 2 hypertension were given a free Bluetooth-enabled blood pressure cuff to use for home monitoring and received regular outreach from the clinic care team. The project demonstrated substantial improvements in hypertensive control and was presented at the Plenary Session of the National Society for General Internal Medicine meeting in Spring 2023.
  • Phenobarbital for Alcohol Withdrawal: Phenobarbital is a safe and effective medication to use for treatment of alcohol withdrawal syndrome. This project works to standardize treatment of alcohol withdrawal with phenobarbital in the ICU and to train physicians to use the phenobarbital alcohol withdrawal order set in the ICU.
  • Tobacco Cessation: Our clinic is working with the Health Education Department and Xealth to improve tobacco cessation in our clinic patients. This involves email and MyChart outreach to patients who smoke encouraging them to quit and connecting them to resources (online classes, tobacco quit line, their PCP).
  • Vaccination Rates: Our clinic is working with American College of Physicians (ACP) Raise the Rates to improve vaccination rates in our clinic patients. The focus in 2023-24 is on influenza vaccination.
  • Diabetic Foot Infections: This project focused on improving outcomes for hospitalized patients with diabetic foot infections using care algorithms and multidisciplinary care teams.
  • CAUTI Prevention: The project focused on preventing catheter-associated urinary tract infection in the intensive care unit. Two educational training modules have been developed.
  • Telemetry Utilization: The QI team collected data on telemetry usage at 2 Providence hospitals and evaluated how often telemetry is used for non-guideline indications. The project resulted in changes to the EMR with automated reminders of guideline indications to continue or discontinue telemetry.
  • Contraceptive Education for Residents: Create new curriculum to increase contraceptive knowledge for resident physicians to be able to better provide care for our clinic patients.