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      Healthcare Quality Improvement Competency: A Clinical and Training Imperative for Geropsychology

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          Abstract

          Quality improvement (QI) work is increasingly necessary to ensure healthcare is delivered safely, efficiently, and equitably. As geropsychologists play an increasingly vital role in healthcare service delivery for older adults, it is imperative that they develop professional competence in QI, yet there is little formal QI training aimed at geropsychologists or to graduate students pursuing geropsychology. This article aims to elucidate the importance of QI education and training in geropsychology. In line with the Pikes Peak model for training in professional geropsychology, we outline QI knowledge and skills competencies for geropsychology training and suggest a rubric for integrating QI education into academic and clinical training from graduate school to professional practice. We provide recommended readings that geropsychology educators can read to become familiar with QI or use as part of a syllabus. Finally, we offer some recommendations for how current and future geropsychologists can be leaders in quality improvement work.

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          Most cited references58

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          Is Open Access

          SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process

          Since the publication of Standards for QUality Improvement Reporting Excellence (SQUIRE 1.0) guidelines in 2008, the science of the field has advanced considerably. In this manuscript, we describe the development of SQUIRE 2.0 and its key components. We undertook the revision between 2012 and 2015 using (1) semistructured interviews and focus groups to evaluate SQUIRE 1.0 plus feedback from an international steering group, (2) two face-to-face consensus meetings to develop interim drafts and (3) pilot testing with authors and a public comment period. SQUIRE 2.0 emphasises the reporting of three key components of systematic efforts to improve the quality, value and safety of healthcare: the use of formal and informal theory in planning, implementing and evaluating improvement work; the context in which the work is done and the study of the intervention(s). SQUIRE 2.0 is intended for reporting the range of methods used to improve healthcare, recognising that they can be complex and multidimensional. It provides common ground to share these discoveries in the scholarly literature (http://www.squire-statement.org).
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            Teaching quality improvement and patient safety to trainees: a systematic review.

            To systematically review published quality improvement (QI) and patient safety (PS) curricula for medical students and/or residents to (1) determine educational content and teaching methods, (2) assess learning outcomes achieved, and (3) identify factors promoting or hindering curricular implementation. Data sources included Medline (to January 2009), EMBASE, HealthSTAR, and article bibliographies. Studies selected reported curricula outlining specific educational content and teaching format. For articles with an evaluative component, the authors abstracted methodological features, such as study design. For all articles, they conducted a thematic analysis to identify factors influencing successful implementation of the included curricula. Of 41 curricula that met the authors' criteria, 14 targeted medical students, 24 targeted residents, and 3 targeted both. Common educational content included continuous QI, root cause analysis, and systems thinking. Among 27 reports that included an evaluation, curricula were generally well accepted. Most curricula demonstrated improved knowledge. Thirteen studies (32%) successfully implemented local changes in care delivery, and seven (17%) significantly improved target processes of care. Factors that affected the successful curricular implementation included having sufficient numbers of faculty familiar with QI and PS content, addressing competing educational demands, and ensuring learners' buy-in and enthusiasm. Participants in some curricula also commented on discrepancies between curricular material and local institutional practice or culture. QI and PS curricula that target trainees usually improve learners' knowledge and frequently result in changes in clinical processes. However, successfully implementing such curricula requires attention to a number of learner, faculty, and organizational factors.
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              Coronavirus Disease 2019 in Geriatrics and Long-term Care: The ABCDs of COVID-19: COVID-19 in Geriatrics and Long-Term Care

              The pandemic of coronavirus disease of 2019 (COVID-19) is having a global impact unseen since the 1918 worldwide influenza epidemic. All aspects of life have changed dramatically for now. The group most susceptible to COVID-19 are older adults and those with chronic underlying medical disorders. The population residing in long-term care facilities generally are those who are both old and have multiple comorbidities. In this article we provide information, insights, and recommended approaches to COVID-19 in the long-term facility setting. Because the situation is fluid and changing rapidly, readers are encouraged to access frequently the resources cited in this article. J Am Geriatr Soc 68:912-917, 2020.
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                Author and article information

                Contributors
                Mary.JacobsDodson2@va.gov
                Journal
                J Clin Psychol Med Settings
                J Clin Psychol Med Settings
                Journal of Clinical Psychology in Medical Settings
                Springer US (New York )
                1068-9583
                1573-3572
                1 October 2021
                : 1-12
                Affiliations
                [1 ]GRID grid.416817.d, ISNI 0000 0001 0240 3901, Research & Development Service, , Tuscaloosa VA Medical Center, ; 3701 Loop Road, Tuscaloosa, AL 35404 USA
                [2 ]GRID grid.411015.0, ISNI 0000 0001 0727 7545, Department of Psychology, , The University of Alabama, ; Tuscaloosa, AL USA
                [3 ]GRID grid.410370.1, ISNI 0000 0004 4657 1992, VA Boston Healthcare System, ; Jamaica Plain, MA USA
                [4 ]GRID grid.38142.3c, ISNI 000000041936754X, Department of Psychiatry, , Harvard Medical School, ; Boston, MA USA
                Author information
                http://orcid.org/0000-0001-6309-0320
                http://orcid.org/0000-0003-4006-8926
                Article
                9824
                10.1007/s10880-021-09824-x
                8485571
                34596823
                9fffa977-7531-473d-86ea-ebd255889175
                © This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply 2021

                This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

                History
                : 8 September 2021
                Categories
                Article

                Clinical Psychology & Psychiatry
                quality improvement,competency,training,geropsychology
                Clinical Psychology & Psychiatry
                quality improvement, competency, training, geropsychology

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