Skip to main content
Sign In
 

GME Quality and Safety Bonus Program

Psychiatry Quality and Safety Homepage


Resident Champion: Helena Winston, MD

Faculty Champion: Dan Nguyen, MD

Metric: Handoffs between Institutions (instead of Urinary Catheter Days All-Program Metric)

In 2017, our CU Department of Psychiatry Program Education Committee and our internal qualitative survey of the program identified resident concerns about the inconsistency and ineffectiveness of patient sign-outs on inpatient psychiatry wards at Denver Health Medical Center (DHMC) and at the Veterans Affairs Medical Center – Denver (VAMC). [Note – University of Colorado Hospital (UCH) does not have an inpatient psychiatry ward and thus will not participate as a site in this project].  The sign-out process has been nationally identified by the Institute of Medicine as an opportunity for errors to occur in patient care, and improving handoffs is a part of the Accreditation Council for Graduate Medical Education residency requirements. Sign-out is a crucial step in the transition between shifts and can prevent potentially serious errors from occurring during or after this transitional time.  A QI project tied to sign-out and incentivized by a monetary reward will help to motivate and train psychiatry residents and attendings to focus on performing sign-out consistently and correctly.

 

Goal:

Tier 1: $175 is achieved if 6 out of the 10 months, there is zero reported adverse events due to handoffs on the inpatient units and that there are reports of 5 events or less per month of inappropriate task delegation or missing medical/psychiatric information on sign-out from all inpatient psychiatry sites.

Tier 2: $250 is achieved if 8 out of the 10 months, there is zero reported adverse events due to handoffs on the inpatient units and that there are reports of 5 events or less per month of inappropriate task delegation or missing medical/psychiatric information on sign-out from all inpatient psychiatry sites.

 

Data:

July 2017

Metric 1: Crucial information missing from sign out: 1 (VA); 0 (DH). Total: 1
Metric 2: Activities that should have been done by prior team: 0 (VA); 1 (DH). Total: 1​

August 2017

Metric 1: Crucial information missing from sign out: 6 (VA); 2 (DH). Total: 8
Metric 2: Activities that should have been done by prior team: 3 (VA); 2 (DH). Total: 5​​

September 2017​

Metric 1: Crucial information missing from sign out: 2 (VA); 3 (DH). Total: 5
Metric 2: Activities that should have been done by prior team: 1 (VA); 4 (DH). Total: 5​​​