University of Wisconsin
School of Medicine and Public Health

Quality Improvement

Quality improvement is essential to our mission as physicians, so that we can continually get better at caring for our patients. As a resident, you'll receive extensive guidance and quality improvement skills training, in an effort to equip you to make change in your own health care systems.

UnityPoint Health–Meriter Hospital Systems-Based Practice Rotation 

As a PG-2, you'll participate in a two-week safety/Quality Improvement (QI) rotation that includes: training in Root Cause Analysis (RCA), human factors engineering and crew resource management; attending peer review meetings and developing a QI project. You'll develop and author your own projects and state a Commitment to Action. 

The curriculum focuses on a team work approach to communication and patient safety, time for QI ownership, learning the Institute for Healthcare Improvement (IHI) curriculum and business management lectures. In addition, to emphasize the importance of communication and teamwork, we include a case study activity: Communication for Patient Safety. The purpose is to improve care by enhancing your understanding of a systems approach to communication breakdowns and error prevention. Learning objectives include: 

  • Identify the circumstances and actions that contributed to a chaotic patient resuscitation 
  • Identify communications systems, processes and conditions that contribute to errors or delays in treatment in clinical environments 

QI projects

Evidence Based Medicine (EBM) 

  • Personalized mentoring of Evidence Based Clinical Practice (EBCP) and individualized library resource training 
  • EBM lectures and EBCP small-group workshop sessions 
  • PG-1 Journal Club to apply and practice the workshop skills 
  • Senior resident systematic literature reviews and PG-3 Journal Club to demonstrate mastery of EBM skills 

Improvement in Patient Outcome Core Measures 

  • During the PG-3 VA rotation, two residents each month lead a quality improvement project team. Using the IHI’s model for improvement, you'll champion rapid cycle redesign projects across key quality areas impacting inpatient and outpatient care. 
  • You'll present your project to peers and faculty for review and discussion to demonstrate mastery of your QI skills.