Building the Bridge to Quality: An Urgent Call to Integrate Quality Improvement and Patient Safety Education with Clinical Care

Brian M. Wong, Karyn D. Baum, Linda A. Headrick, Eric S. Holmboe, Fiona Moss, Greg Ogrinc, Kaveh G. Shojania, Emma Vaux, Eric J. Warm, Jason R. Frank

Research output: Contribution to journalArticlepeer-review

31 Scopus citations


Current models of quality improvement and patient safety (QIPS) education are not fully integrated with clinical care delivery, representing a major impediment toward achieving widespread QIPS competency among health professions learners and practitioners. The Royal College of Physicians and Surgeons of Canada organized a 2-day consensus conference in Niagara Falls, Ontario, Canada, called Building the Bridge to Quality, in September 2016. Its goal was to convene an international group of educational and health system leaders, educators, frontline clinicians, learners, and patients to engage in a consensusbuilding process and generate a list of actionable strategies that individuals and organizations can use to better integrate QIPS education with clinical care. Four strategic directions emerged: prioritize the integration of QIPS education and clinical care, build structures and implement processes to integrate QIPS education and clinical care, build capacity for QIPS education at multiple levels, and align educational and patient outcomes to improve quality and patient safety. Individuals and organizations can refer to the specific tactics associated with the 4 strategic directions to create a road map of targeted actions most relevant to their organizational starting point. To achieve widespread change, collaborative efforts and alignment of intrinsic and extrinsic motivators are needed on an international scale to shift the culture of educational and clinical environments and build bridges that connect training programs and clinical environments, align educational and health system priorities, and improve both learning and care, with the ultimate goal of achieving improved outcomes and experiences for patients, their families, and communities.

Original languageEnglish (US)
Pages (from-to)59-68
Number of pages10
JournalAcademic Medicine
Issue number1
StatePublished - 2020

Bibliographical note

Funding Information:
• Management of an internal educational grants program supported by the school’s medical alumni association5

Publisher Copyright:
Copyright © 2019 by the Association of American Medical Colleges.


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