Resident Graduate Medical Education QI Goals & Resident Champions

UCSF Medical Center and the GME Office establish annual incentive goals for trainees. The overarching incentive goals traditionally include patient satisfaction and institution-wide quality or operational goals. Each program (residency or clinical fellowship) has the option to develop one specific incentive goal. In order to ensure that the goal is aligned with departmental priorities, trainee representatives should work closely with department leadership, including, the program director, department quality physician leader and/or service chief, and department chair to develop the goal.

Timely Completion of Operative Notes (FY2013)

Poor documentation and communication in perioperative settings contribute to an unsafe operating room (OR) culture and negatively affects patient safety and team engagement. Such documentation and communication breakdowns can lead to delays in patient care and serious errors. Effective communication and handoffs that are timely, accurate, and complete can reduce mistakes and result in improved patient safety. In addition to a verbal sign-out, a complete and accurate brief op note is an efficient tool to communicate post op patient information to all those involved in the patient's care -- thus decreasing uncertainty regarding post-surgical status and facilitating timely patient assessment and treatment if the patient's condition changes.

For FY2013, the Neurological Surgery Residents, led by Resident Champions, Seunggu Han MD, Nathan Rowland MD, PhD, and Rajiv Saigal MD, PhD, have established a goal for timely completion of either a brief operative note or full operative report within 30 minutes of the patient leaving the inpatient PACU or within 30 minutes of the patient arriving to the ICU.

Chemistry Lab Utilization on Neurosurgery Service (FY2012)

For FY2012, the Neurological Surgery Residents, led by Resident Champions, Seunggu Han MD, Rajiv Saigal MD, PhD, and Jason Cheng MD, established a goal for limiting utilization of laboratory tests that have little to no impact on patient care is a common goal of the medical center. The neurosurgery service, due to the high volume of patients and frequent usage of ICU setting has high lab usage, however, only few labs seem to truly change course of care. Chemistry Lab Utilization on Neurosurgery Service Poster

Additional information regarding Neurological Surgery GME goal can be found on the Departmental Quality and Patient Safety Sharepoint site.