Quality Improvement Projects


All physicians share responsibility for promoting patient safety and quality improvement in health care.  During training, programs must prepare residents to provide the highest level of clinical care with a distinct focus on patient safety, patient-centered care, and humanity of all.

Residents must demonstrate the ability to analyze the care they provide and play an active role in system improvement processes. It is necessary for residents and faculty members to work together within healthcare teams to achieve organizational patient safety goals.

  • adapted from the ACGME Common Program Requirements


Our residency training program provides various opportunities for residents to play an active role in patient safety and quality improvement endeavors.


Systems-based participation includes:

  • Incident reporting for adverse events and near misses
  • Participation in Root Cause Analysis
  • Simulation training within the patient care environment (ex. ER Trauma Resuscitation Room or Labor & Delivery Suite)
  • Participation in hospital committees, including: Pharmacy & Therapeutics, Infection Control, Hospital Throughput, CAUTI Task Force, OR Committee, etc.

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Department-based participation includes:

  • recurring education about basic quality improvement processes
  • review of data/metrics, such as: 30 day readmission rates, blood transfusions, insufficient pap smear rates in clinic, and the overall C-section rate of our service
  • attendance at monthly Morbidity and Mortality conferences
  • participation in at least one quality improvement project with a team of residents and a faculty mentor


The Department of OBGYN has been an active participant in the Annual QI/PS Forum for the LSU Health Sciences Center since its inception in 2013.


Current projects that are ongoing in the department include:

  • ERAS implementation for gynecologic surgery in a medically underserved population
  • Use of a video education tool to improve patient understanding of colposcopy consent and procedure in clinic
  • Development of process to improve rate of vaccine administration under the expanded HPV age guidelines
  • Implementation of a telehealth visit for 3 week postpartum visits and impact on routine postpartum visit attendance
  • Implementation of a postpartum hypertension discharge bundle


 QI group