CI - This Just In

• Involving Residents in Quality Improvement: Contrasting “Top-Down” and “Bottom-Up” Approaches (PDF August, 2008) explores practical methods to involve residents in clinical quality improvement (QI) efforts, and contrasts institution-level quality improvement projects like the Institute for Healthcare Improvement’s (IHI’s) 100,000 and 5 Million Lives Campaign and program- and resident-initiated projects. It focuses on how both approaches meet the dual goals of improving care and advancing residents’ professional development in practice-based learning and improvement (PBLI) and systems based practice (SBP). The report explores the advantages and drawbacks of both “top-down” (institution-initiated) and “bottom-up” (resident- and program-initiated) approaches, and provides answers to the question whether “top-down” approaches for involving residents in QI can overcome some of the perceived limitations of “bottom-up” QI.