Engage with Quality Improvement and Patient Safety


2023 Residents and Fellows E-QIPS Competition Winners

Congratulations to the 2023 Residents and Fellows E-QIPS Competition winners:

The Quality Improvement and Patient Safety (QIPS) Committee has a critical function to develop internal and external policy on quality and safety on behalf of the American Urological Association, its members, and the larger urological community. Although this core mission is vital, there remains a growing interest, need, and opportunity for direct engagement, support, and growth of the science and practice of quality improvement and patient safety by urologists and affiliated health care professionals.

To that end, we are excited to introduce a new section of curated, community-sourced content from the American Urological Association. The Engage with Quality Improvement and Patient Safety (E-QIPS) section will cultivate quality improvement and patient safety projects from members of the urological community to highlight QIPS accomplishments, foster QIPS growth, encourage collaboration, and elevate urological care.

We encourage all those in the urological community (physicians, advanced practice providers, nurses, researchers, patient advocacy groups, etc.) to contribute to future E-QIPS Guides and Works-in-Progress.

Submit an E-QIPS Guide or Work-in-Progress

The E-QIPS Guides section provide a concise, step-by-step outline of proven urological practice improvement strategies that you can replicate and apply to your practice to potentially increase safety, efficacy, and efficiency of patient care.

The E-QIPS Works-in-Progress section highlights the on-going commitment and involvement of our urological community in QIPS. Here you will find a list of urological practice improvement projects currently in progress that are available for multi-institutional collaboration.

  • One Safe Act (OSA)
    The “One Safe Act” initiative would generate discussion and dissemination of personal actions and behaviors that promote patient safety. The specific aims are to (1) facilitate interprofessional teaming of staff who work in a shared environment; (2) encourage self- and group-reflection of proactive behaviors done to ensure or promote patient safety; and (3) identify, catalog, and distribute learnings of common or universal proactive safety behaviors that can be adopted across the organization.
    Justin B. Ziemba, MD MSEd
  • Urologists Provide Online Resource to Obstetric Hospital Multi-Specialty Staff Which Increases Agreement to Diagnose Newborns as "Suited to Circumcise"
    Newborn circumcision is currently practiced routinely in obstetric hospitals by their staff as obstetricians and pediatric caregivers before newborn discharge.  About 20% of such births show anatomic findings that categorize the boys as “not suited” to this routine.*  However, these caregivers do not have a resource that guides how to make this determination.  We provide an e-learning tool to fill the gap in such education which is accessible by computer, mobile devices and amenable to print out in hospital nurseries.
    Max Maizels, MD
  • The Rosetta (Kidney) Stone Project
    Reliable instructions after our common clinic-based procedures are not available or routinely implemented in our faculty-based clinic for patients with limited English proficiency. This project aims to create standardized written discharge instructions in our most commonly spoken non-English languages and make them easily available to patients following our most common clinic-based procedures.
    Max Bowman, MD
    *2023 Residents and Fellows Competition Winner

  • Effect of Educating Nurses on Difficult Foley Catheter Placement
    We initiated a quality improvement project at our 881-bed private adult teaching hospital to teach all pre-operative and postoperative care unit (PACU) nursing staff how to place Coudé catheters, as well as how to troubleshoot difficult female catheter insertions. Moreover, nurses from multiple units in the hospital, including the operating room (OR), intensive care unit (ICU), floor, and emergency room (ER), were asked to volunteer to become ‘Superusers,’ who would be certified to help nursing colleagues in their respective units when they were unable to successfully place a catheter. We created an algorithm to help nurses know when to attempt Coudé catheter placement or call a Superuser.
    Catherine Ingram, MD

PLEASE NOTE: E-QIPS Guides and E-QIPS Works-in-Progress are provided as a service to AUA members and in the interest of publicizing and advancing quality improvement initiatives throughout the urologic community. AUA is not responsible or liable for the veracity, accuracy or timeliness of the information provided in individual E-QIPS Guide or E-QIPS Works-in-Progress submissions. No attempts have been made by the AUA to pre-screen projects, nor verify stated outcomes.

While E-QIPS Guides are intended to encourage best practices, they do not pre-empt physician judgment in individual cases. Treating physicians must take into account variations in resources, and patient tolerances, needs, and preferences. Conformance with any E-QIPS Guide or E-QIPS Work-in-Progress does not guarantee a successful outcome.

An E-QIPS Guide or E-QIPS Work-in-Progress submission may include information or recommendations about certain drug uses (‘off label‘) that are not approved by the Food and Drug Administration (FDA), or about medications or substances not subject to the FDA approval process. AUA urges strict compliance with all government regulations and protocols for prescription and use of these substances. The physician is encouraged to carefully follow all available prescribing information about indications, contraindications, precautions and warnings.