Quality Improvement projects

All residents participate in QIPS projects. Our goal is to introduce and train residents to utilize basic QI methods and improve the quality of patient care. Residents work in multidisciplinary teams that include staff from the APRH Dept. of Quality Control; the nursing program, the laboratory, and the hospital pharmacy; and the electronic medical records personnel and administration. Residents actively participate in a variety of hospital committees, whereby they can where they can discuss improvements and implement quality standards.

The IM-Ascension Program and the Office of Graduate Medical Education in the Wayne State University School of Medicine organize a yearly Quality Improvement Research Day (typically held in May) as a forum by which residents can showcase their QIPS projects and compete for awards. A regional medical education organization, the Southeast Michigan Center for Medical Education (SEMCME), holds both QIPS and  clinical research meetings each spring.

Residents also regularly present at the American College of Physicians - Michigan Chapter meetings. Notably, our residents have won Oral Presentation awards at ACP-Michigan and go on to present at the national ACP annual meeting. In addition, some of our residents have presented their research at international conferences, such the CHEST World Congress, NEJM 360 Resident QI Challenge, and the European Society of Cardiology.

Recent publications

• Bardooli F, Kumar D, Hasan J, Mengal N, Bhatti KI, Makwana D, Rai K, Maheswari L. Prognostic Significance of Electrocardiography, Echocardiography, and Troponin in Patients Admitted with Non-ST Elevation Myocardial Infarction. Cureus 15(4), April 2023
• Nagar T, Ramakrishna J, Khanna V, Turk I. Predominant Intractable Nausea in the Diagnosis of Bulbar Myasthenia Gravis: A Case Study and Review of the Literature. Cureus 14(12), Dec 2022
• Khanna V, Reddy T, Nagar T, Tegeltija V. Metastatic Large Cell Neuroendocrine Carcinoma of the Colon: A Case Report. Cureus 14(6), June 2022
• Kalluri S, Bhutta TH, Hannoodee H, et al. Do SGLT2 Inhibitors Improve Cardio-Renal Outcomes in Patients with Type II Diabetes Mellitus: A Systematic Review. Cureus 13(9), Sept. 2021

Recent conference presentations, posters, and abstracts (sample)

• Mathew A, Hannoodee H, Altaweel T, Samrah D, Wajid Z, Kumar S, Tegeltija V. Addressing health disparities in inpatient diabetes to improve patient outcomes. SEMCME Annual QIPS Conference, May 2023;  ≈ First place in resident poster competition ≈
• Tahanulqiwa H, Yesilyaprak A, Ramakrishna J, Nagar T, Reddy T, Akyuz K, Kumar S, Choksi N. Diagnosing eosinophilic myocarditis: Is invasive work-up mandatory? American Association of Clinical Endocrinology Annual Meeting, May 2023
• Yesilyprak A, Ramakrishna J, Tahanulqiwa H, Akyuz K, Nagar T, Choksi N, Tegeltija V. Ivabradine as salvage therapy for atrial fibrillation with rapid ventricular rate. American College of Cardiology Annual Meeting, March 2023; abstract published in JACC
• Nagar T, Taha A, Khanna V, Jerome A, Chamseddin R, Yesilyaprak A. Jejunal Gastrointestinal Stromal Tumor (GIST) as a rare cause of lower GI bleed. College of Gastroenterology National Conference, Oct 2022; abstract published in AJG
• Ramakrisha J, Schmidt B, Hessler-Waning M, Reddy T, Hester T, Kashlan T, Tariq O, McCready T, Tegeltija V. Reduction in health-care facility onset catheter-associated urinary tract infections: A resident-led quality improvement initiative. Abstract in Open Forum Infectious Diseases, Vol. 9, Issue Supplement 2, Dec 2022
• Goel M, Jerome A, Khanam V, Chawla R, Choksi N. COVID-19 vaccine associated myocarditis. Poster presented at the American Heart Association Annual Meeting, Nov. 2021; abstract published in Circulation, Dec 2021

For a complete listing of the IM-Ascension Program's posters, abstracts, presentations, and publications, as well as more information on the program's ongoing QIPS and research activities, contact Program Director Sarwan Kumar or Associate Program Director Vesna Tegeltija.