Protecting Against Unintended Risk From Student Quality Improvement Projects in Health Care.

Quality improvement (QI) project design is an essential characteristic of degree programs for future health care leaders. The use of evidence-based practices strengthens patient safety and organizational efficiency. The curriculum for advanced degree programs emphasizes and requires a QI project for...

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Publicado en:Advances in Health Information Science & Practice Vol. 2; no. 1; pp. 1 - 11
Autor principal: Bryant-Gawthrop, Ianthe
Formato: practice guidelines tables/charts Journal Article
Publicado: American Health Information Management Association 2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2026
      vid: 2
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      pub: American Health Information Management Association
      place: Chicago, Illinois
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        atl: Protecting Against Unintended Risk From Student Quality Improvement Projects in Health Care.
      aug:
        au: Bryant-Gawthrop, Ianthe
        affil: Department of Educational Studies and Department of Biological Sciences, Purdue University
      sug:
        subj:
          Education, Health Sciences
          Students, Health Occupations
          Health Information Management
          Quality Improvement
          Clinical Governance
          Practice Guidelines
          Risk Management
          Patient Safety
          Organizational Efficiency
          Research Ethics
          Decision Support Techniques
          Models, Educational
          Quality Assurance
          Health Insurance Portability and Accountability Act
          Professional Compliance
          Privacy and Confidentiality
          Professional Practice, Evidence-Based
      ab: Quality improvement (QI) project design is an essential characteristic of degree programs for future health care leaders. The use of evidence-based practices strengthens patient safety and organizational efficiency. The curriculum for advanced degree programs emphasizes and requires a QI project for each student, often allowing the activity to occur at the student's place of employment, thus creating a dual responsibility (student-employee). In the past two decades, institutional review boards (IRBs) and practitioners have struggled with incorporating uniformity in the review of research versus QI design. Despite the efforts of experts in ethics and calls to develop formal processes, consistency issues are still a challenge in traditional IRB review models. The process to mandate the IRB as the sole decision-maker for QI projects may lead to overregulation and bottlenecks in the institutional workflow. In this report, the author attempts to reconcile the causes of overregulation and also draw attention to potentially unrealized risks to patient privacy and protections. The proposed effort aims to (1) proactively establish when governance models are necessary for the population of student-employees conducting QI projects, and (2) promote interaction and cooperation when addressing ethical and regulatory standards outside of the IRB to reduce overregulation for student-employee QI projects. The author also describes a novel heatmap for risk identification and introduces the 5Circle Student Employee Venn for Quality Improvement model as a proposed mechanism to help institutions design more appropriate governance structures for student-employee QI projects. Finally, the author suggests ways by which institutions can increase efficiency and reduce overregulation of QI.
      pubtype: Academic Journal
      doctype:
        practice guidelines
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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