Cardiology curriculum standards (Paediatrics & Child Health)
Cardiology curriculum standards (Paediatrics & Child Health)
Entrustable Professional Activities
EPA 3: Quality improvement
EPA 3
Quality improvement
Identify and address failures in health care delivery
This activity requires the ability to:
- identify, mitigate, and report actual and potential (near miss) errors
- conduct system improvement activities
- adhere to best practice guidelines
- audit clinical guidelines and outcomes
- contribute to the development of policies and protocols designed to protect patients and enhance health care
- monitor one’s own practice and develop individual improvement plans
Professional practice framework domain
Medical expertise
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- regularly review patients or population health outcomes to identify opportunities for improvement in delivering appropriate care
- use standardised protocols to adhere to best practice and prevent the occurrence of wrong site, wrong-patient procedures
- evaluate practice regularly to ensure it aligns with available evidence and guidelines
- regularly monitor personal professional performance
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- contribute to processes on identified opportunities for improvement
- use local guidelines to assist patient care decision making
Communication
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- support patients to have access to, and use, high-quality, easy-to-understand information about health care
- assist patients’ access to their health information, as well as complaint and feedback systems
- discuss with patients any safety and quality concerns they have relating to their care
- implement organisations’ open disclosure policy
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate awareness of the evidence for consumer engagement and its contribution to quality improvement in health care
- apply knowledge of how health literacy might affect the way patients or populations gain access to, understand, and use health information
Quality and safety
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- demonstrate safety skills including infection control, adverse event reporting, and effective clinical handover
- participate in organisational quality and safety activities, including morbidity and mortality reviews and clinical incident reviews
- use clinical audits and registries of data on patients’ experiences and outcomes, and learn from incidents and complaints to improve health care
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate understanding of a systematic approach to improving the quality and safety of health care
- participate in systems for surveillance and monitoring of adverse events and near misses, including reporting such events
- ensure that identified opportunities for improvement are raised and reported appropriately
Teaching and learning
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- translate quality improvement approaches and methods into practice
- participate in professional training in quality and safety to ensure a contemporary approach to safety system strategies
- supervise and manage the performance of junior colleagues in the delivery of safe, high-quality care
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- work within organisational quality and safety systems for the delivery of clinical care
- use opportunities to learn about safety and quality theory and systems
Research
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- ensure that any protocol for human research is approved by a human research ethics committee, in accordance with the national statement on ethical conduct in human research
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- understand that patient participation in research is voluntary and based on an appropriate understanding about the purpose, methods, demands, risks, and potential benefits of the research
Cultural safety
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- undertake professional development opportunities that address the impact of cultural bias on health outcomes
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- communicate effectively with patients from culturally and linguistically diverse backgrounds
Ethics and professional behaviour
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- contribute to developing an organisational culture that enables and prioritises patients’ safety and quality of care
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- comply with professional regulatory requirements and codes of conduct
Judgement and decision making
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- use decision-making support tools, such as guidelines, protocols, pathways, and reminders
- analyse and evaluate current care processes to improve health care
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- access information and advice from other health care practitioners to identify, evaluate, and improve patients’ care management
Leadership, management, and teamwork
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- support multidisciplinary team activities to lower risk of harm, and promote multidisciplinary education programs
- actively involve clinical pharmacists in the medication use process
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate attitudes of respect and cooperation among members of different professional teams
- partner with clinicians and managers to ensure that patients receive appropriate care and information on their care
Health policy, systems, and advocacy
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- support the development, implementation, evaluation, and monitoring of governance processes
- maintain a dialogue with service managers about issues that affect patient care
- help to shape an organisational culture that prioritises safety and quality through openness, honesty, learning, and quality improvement
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- contribute to relevant organisational policies and procedures