@article{ref1,
title="Teaching quality improvement in occupational medicine: improving the efficiency of medical evaluation for commercial drivers",
journal="Journal of Occupational and Environmental Medicine",
year="2015",
author="Sorita, Atsushi and Raslau, David and Murad, Mohammad Hassan and Steffen, Mark W.",
volume="57",
number="4",
pages="453-458",
abstract="OBJECTIVE:: To describe a successful, resident-led quality improvement (QI) project that improved the efficiency of the Department of Transportation (DOT) medical examination process. <br><br>METHODS:: After learning QI principles through didactics, workshops, and online modules, residents led a QI project to streamline the process of the DOT examination. An interdisciplinary group of key stakeholders collaborated to analyze the process and to design and implement interventions. <br><br>RESULTS:: Following the Model for Improvement and Lean concepts, residents ran seven Plan-Do-Study-Act cycles over a 4-month period with multiple iteration and testing changes. Compared with the baseline, the team successfully reduced the total visit time (from check-in to check-out) by 28 minutes (102 minutes vs. 130 minutes; P < 0.001). The accuracy of certificate issuance, as proxy for quality of the examinations, improved after the interventions. <br><br>CONCLUSIONS:: Residents successfully improved the efficiency of the DOT examination process.<p /> <p>Language: en</p>",
language="en",
issn="1076-2752",
doi="10.1097/JOM.0000000000000394",
url="http://dx.doi.org/10.1097/JOM.0000000000000394"
}