Quality and Patient Safety

Through a series of reports, The Institute of Medicine has been instrumental in calling national attention to the important issue of medical errors, patient safety and quality of care.

At CHOP, the responsibility of caring for the most vulnerable of patients is not taken lightly. Our residents are at the front-lines of providing care and we continually strive for excellence in all aspects of that endeavor: academic, clinical, and research.

Residents’ role in patient safety

The pediatric residents are the eyes and ears of the institution in all areas of the hospital, observing systems at work at all times of the day and night. Residents are in a unique position where then can identify systems-issues that could negatively impact patient care.

  • Residents learn about institution-wide efforts to make CHOP the safest it can be, including use of the hospital’s event-reporting system, Safety Net.
  • Residents are also involved with Unit Partnerships, which are floor-based, interdisciplinary committees focused on utilizing and implementing the model for change in improving the quality of care and patient safety on each individual unit.
  • Residents are active participants in monthly, hospital-wide Interdisciplinary Safety Morbidity and Mortality Conferences.
  • Senior residents participate as content experts for hospital Root Cause and Apparent Cause Analyses.

Quality improvement

In the ambulatory setting, our residents take advantage of the strength of our electronic medical record, using this information system to direct quality improvement efforts at the level of their own individual practice. Residents take part in a PEDIAPREDD workshop on quality improvement in primary care practice then use skills they learn to look critically at their own panel of patients, seeking ways to measure and assess quality and improve it.

With the mentorship of a primary care preceptor, each resident designs a focused project based on a question of clinical importance to them and develops an intervention which is then assessed using an electronic medical record audit.