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Quality Improvement Curricula in Pediatric Residency Education: Obstacles and Opportunities

  • James Moses
    Affiliations
    Department of Pediatrics, University of Missouri – Kansas City School of Medicine (Dr Mann) and Quality and Safety, Children’s Mercy Hospitals and Clinics (Dr Mann), Kansas City, Mo; Department of Pediatrics, Boston University School of Medicine, Boston Medical Center (Dr Moses) and Boston Combined Residency Program in Pediatrics, (Dr Moses), Boston, Mass; and Department of Pediatrics, Section of Critical Care Medicine, Drexel University College of Medicine, St. Christopher’s Hospital for Children, Philadelphia, Pa (Dr Shore)
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  • Paul Shore
    Affiliations
    Department of Pediatrics, University of Missouri – Kansas City School of Medicine (Dr Mann) and Quality and Safety, Children’s Mercy Hospitals and Clinics (Dr Mann), Kansas City, Mo; Department of Pediatrics, Boston University School of Medicine, Boston Medical Center (Dr Moses) and Boston Combined Residency Program in Pediatrics, (Dr Moses), Boston, Mass; and Department of Pediatrics, Section of Critical Care Medicine, Drexel University College of Medicine, St. Christopher’s Hospital for Children, Philadelphia, Pa (Dr Shore)
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  • Keith J. Mann
    Correspondence
    Address correspondence to: Keith J. Mann, MD, MEd, Associate Professor, Department of Pediatrics, University of Missouri – Kansas City School of Medicine, Children’s Mercy Hospitals and Clinics, 2401 Gillham Road, Kansas City, Missouri 64108.
    Affiliations
    Department of Pediatrics, University of Missouri – Kansas City School of Medicine (Dr Mann) and Quality and Safety, Children’s Mercy Hospitals and Clinics (Dr Mann), Kansas City, Mo; Department of Pediatrics, Boston University School of Medicine, Boston Medical Center (Dr Moses) and Boston Combined Residency Program in Pediatrics, (Dr Moses), Boston, Mass; and Department of Pediatrics, Section of Critical Care Medicine, Drexel University College of Medicine, St. Christopher’s Hospital for Children, Philadelphia, Pa (Dr Shore)
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Published:October 04, 2011DOI:https://doi.org/10.1016/j.acap.2011.08.007
      There is inherent value in both engaging resident physicians in system-level improvement efforts and teaching quality improvement to these learners during their training. The Institute of Medicine’s report, To Err is Human, placed patient safety and quality improvement in the national spotlight by identifying how tens of thousands of patients die each year from medical error in U.S. hospitals.

      Kohn LT CJ, Donaldson MS. To Err is Human: Building a Safer Health System. Washington, DC: National Academies Press; 2000.

      To address the extensive quality problems raised in To Err is Human, the follow-up report from the Institute of Medicine, Crossing the Quality Chasm, redirected the focus of health care delivery by outlining 6 major dimensions of quality care (patient-centered, safe, effective, efficient, equitable, and timely) and challenged health care organizations to improve performance in these areas.
      Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century.
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