title: Graduate Medical Education as a Lever for Collaborative Change: One Institution's Experience with a Campuswide Patient Safety Initiative.
abstract: BACKGROUND
  The 2013 closure of a public hospital in Baton Rouge, LA transformed graduate medical education (GME) at Our Lady of the Lake Regional Medical Center (OLOL). Administrators were tasked with incorporating residents into patient safety and quality improvement initiatives to fulfill regulatory obligations. This report outlines our experiences as we built these patient safety and quality improvement initiatives in a rapidly expanding independent academic medical center.
  
  
  METHODS
  We joined the Alliance of Independent Academic Medical Centers (AIAMC) to meet and learn from national peers. To fulfill the scholarly activity requirement of the AIAMC's National Initiative IV, we formed a multidisciplinary team to develop a patient safety education project. Prioritized monthly team meetings allowed for project successes to be celebrated and circulated within the organization.
  
  
  RESULTS
  The public-private partnership that more than quadrupled the historic size of GME at OLOL has, in the past 2 years, led to the development of an interdisciplinary team. This team has expanded to accommodate residency program leadership from across the campus. Our National Initiative IV project won a national award and inspired several follow-up initiatives. In addition, this work led to the formation of a Patient Safety and Clinical Quality Improvement fellowship that matched its first fellow in 2015.
  
  
  CONCLUSIONS
  Through the commitment and support of hospital and medical education leaders, as well as a focus on promoting cultural change through scholarly activity, we were able to greatly expand patient safety and quality improvement efforts in our institution.
authors.affiliation: Division of Academic Affairs, Our Lady of the Lake Regional Medical Center, Baton Rouge, LA.
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Vath
authors.affiliation: Division of Academic Affairs, Our Lady of the Lake Regional Medical Center, Baton Rouge, LA ; Emergency Medicine Residency Program, Louisiana State University Health Sciences Center, New Orleans, LA.
authors.forename: Mandi W
authors.initials: MW
authors.lastname: Musso
authors.affiliation: Division of Academic Affairs, Our Lady of the Lake Regional Medical Center, Baton Rouge, LA.
authors.forename: Lauren S
authors.initials: LS
authors.lastname: Rabalais
authors.affiliation: Pediatric Residency Program, Our Lady of the Lake Regional Medical Center, Baton Rouge, LA.
authors.forename: Alston
authors.initials: A
authors.lastname: Dunbar
authors.affiliation: Emergency Medicine Residency Program, Louisiana State University Health Sciences Center, New Orleans, LA.
authors.forename: Stephen
authors.initials: S
authors.lastname: Hosea
authors.affiliation: Internal Medicine Residency Program, Louisiana State University Health Sciences Center, New Orleans, LA.
authors.forename: Angela C
authors.initials: AC
authors.lastname: Johnson
authors.affiliation: Pediatric Residency Program, Our Lady of the Lake Regional Medical Center, Baton Rouge, LA.
authors.forename: Michael
authors.initials: M
authors.lastname: Bolton
authors.affiliation: Division of Academic Affairs, Our Lady of the Lake Regional Medical Center, Baton Rouge, LA ; General Surgery Residency Program, Louisiana State University Health Sciences Center, New Orleans, LA.
authors.forename: Vernon K
authors.initials: VK
authors.lastname: Rhynes
authors.affiliation: Emergency Medicine Residency Program, Louisiana State University Health Sciences Center, New Orleans, LA.
authors.forename: Terrell S
authors.initials: TS
authors.lastname: Caffery
authors.affiliation: Department of Psychiatry, Tulane University School of Medicine, New Orleans, LA.
authors.forename: L Lee
authors.initials: LL
authors.lastname: Tynes
authors.affiliation: Pediatric Residency Program, Our Lady of the Lake Regional Medical Center, Baton Rouge, LA.
authors.forename: Savarra
authors.initials: S
authors.lastname: Mantzor
authors.affiliation: Internal Medicine Residency Program, Louisiana State University Health Sciences Center, New Orleans, LA.
authors.forename: Bahnsen
authors.initials: B
authors.lastname: Miller
authors.affiliation: Division of Academic Affairs, Our Lady of the Lake Regional Medical Center, Baton Rouge, LA.
authors.forename: Laurinda L
authors.initials: LL
authors.lastname: Calongne
keywords: Education–medical–graduate; health services research; quality improvement; quality of health care