ACGME Milestones

The Rush Emergency Medicine Residency Patient Safety and Quality Improvement curriculum is based on the ACGME EM Milestones version 2.0, enacted in July 2021. As you’re aware, through your residency you’ll need to demonstrate proficiency in the various levels described in the milestones below. Both of these fall within the Competency Domain of Systems-Based Practice.

Level 1Level 2Level 3Level 4Level 5
Demonstrates knowledge of common patient safety events

Demonstrates knowledge of how to report patient safety events		Identifies system factors that lead to patient safety events

Reports patient safety events through institutional reporting systems (simulated or actual)		Participates in analysis of patient safety events (simulated or actual)

Participates in disclosure of patient safety events to patients and families (simulated or actual)		Conducts analysis of patient safety events and offers error prevention strategies (simulated or actual)

Discloses patient safety events to patients and families (simulated or actual)		Actively engages teams and processes to modify systems for preventing patient safety events

Acts as a role model and/or mentor for others in the disclosing of patient safety events
Systems-Based Practice 1: Patient Safety

Level 1Level 2Level 3Level 4Level 5
Demonstrates knowledge of basic quality improvement methodologies and metricsDescribes local quality improvement initiatives (e.g., emergency department throughput, testing turnaround times)Participates in local quality improvement initiativesDemonstrates the skills required for identifying, developing, implementing, and analyzing a quality improvement projectCreates, implements, and assesses quality improvement initiatives at the institutional or community level
Systems-Based Practice 2: Quality Improvement

Patient Safety

Quality Improvement