The Impact of Feedback of Surgical Outcome Data on Surgical Performance: A Systematic Review

Maruthappu, Mahiben; Trehan, Abhishek; Barnett-Vanes, Ashton; McCulloch, Peter; Carty, Matthew J.

doi:10.1007/s00268-014-2897-0

Cited by 31 publications

(17 citation statements)

References 31 publications

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“…In the cultivation of surgical specialists, a lack of effective assessment methods and outcome measurements has long inhibited the evaluation of the performance of trainees' learning progression and the determination of training standards [17]. A study by Maruthappu et al con rmed that when residents from the surgical department received effective feedback during the training process, they improved their learning effectiveness and clinical performance [18]. The training process requested by the Taiwan Society of Otorhinolaryngology-Head and Neck Surgery (TOS), according to training seniority, currently adopts the "case logs" to record relevant clinical skills.…”

Section: Discussionmentioning

confidence: 99%

Attainment of Core Competencies Milestones in Otolaryngology Residency Training in Taiwan: A Pilot Study

Liu

Hsieh

Chen

et al. 2019

Preprint

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Background: Competency-based medical education has emerged as a mainstream method for educating and assessing the next generation of physicians. This study aims to initiate and examine the preliminary results of an integrated Traditional Chinese Otolaryngology Milestone Project in Taiwan. Methods: This prospective study enrolled 18 participants in an academic hospital setting from July 2017 to August 2019. Participants included twelve attending and six resident physicians. Using the Integrated Traditional Chinese Otolaryngology Milestones (ITCOM), five biannual evaluations involved independent self-assessments by the resident doctors, which the chief resident and attending physicians independently reevaluated. A Kruskal–Wallis test was used to compare the results of the five assessments. Results: The average scores of attained milestones for the five assessments were as follows for residents PGY1– PGY6: PGY1 (1.48 ± 0.24; 1.69 ± 0.10, P = 0.01), PGY2 ( 1.24 ± 0.12; 1.51 ± 0.23; 1.75 ± 0.06; 1.98 ± 0.21; 2.47 ± 0.18 , P < 0.0001), PGY3 (2.19 ± 0.24; 2.36 ± 0.25; 2.80 ± 0.19; 2.96 ± 0.24; 3.33 ± 0.23, P < 0.0001), PGY4 (2.68 ± 0.17; 2.96 ± 0.09; 3.35 ± 0.13; 3.58 ± 0.10; 4.17 ± 0.08, P < 0.0001), PGY5 (3.07 ± 0.24; 3.38 ± 0.12; 3.58 ± 0.10; 4.05 ± 0.09, P < 0.0001) and PGY6 ( 3.30 ± 0.27; 3.61 ± 0.28; 4.22 ± 0.20, P = 0.0001). The score results for patient care, medical knowledge, and professionalism were more likely to indicate heightened attainment of milestone levels as the program progressed. However, the curves of the score results for system-based practice, problem-based learning and improvement, and interpersonal and communication skills were more horizontal, showing that the milestones might indicate a better performance than expected, even in residents with low training seniority. Conclusions: The results of the five biannual assessments revealed that all resident physicians demonstrated a significant improvement. Further study involving large-scale participants and multiple institutions is warranted.

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Section: Discussionmentioning

confidence: 99%

Attainment of Core Competencies Milestones in Otolaryngology Residency Training in Taiwan: A Pilot Study

Liu

Hsieh

Chen

et al. 2019

Preprint

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“…A systematic review (Maruthappu, Trehan, Barnett-Vanes, McCulloch & Carty, 2015) looked at how feedback impacted surgical outcome data. Feedback was found to have a powerful effect on surgical outcomes and indicators of surgical performance, although not all studies were randomized and a limited number of studies were included.…”

Section: Analysis Of Evidencementioning

confidence: 99%

Developing and Implementing a Quality Assurance Strategy for Electroconvulsive Therapy

Hollingsworth

Baliko

McKinney

et al. 2019

J ECT

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The literature provides scant guidance in effective quality assurance strategies concerning the use of electroconvulsive therapy (ECT) for the treatment of psychiatric conditions. Numerous guidelines are published that provide guidance in the delivery of care, however, little has been done to determine how a program or facility might ensure compliance to best practice for safety, tolerability, and efficacy in performing ECT. The objective of this project was to create a quality assurance strategy specific to ECT.Determining standards for quality care and clarifying facility policy were key outcomes in establishing an effective quality assurance strategy. An audit tool was developed utilizing quality criteria derived from a systematic review of ECT practice guidelines, peer review and facility policy. All ECT procedures occurring over a two month time period of May-June 2017 were retrospectively audited and compared against target compliance rates set for the facility's ECT program. Facility policy was adapted to reflect quality standards and audit findings were used to inform possible practice change initiatives, create benchmarks for continuous quality monitoring and were integrated into regular hospital quality meetings. Clarification on standards of care and the use of clinical auditing in ECT was an effective starting point in the development of a quality assurance strategy. Audit findings were successfully integrated into the hospital's overall quality program and recognition of practice compliance informed areas for future quality development and policy revision in this small community-based hospital in the iv southeastern United States. This project sets the foundation for a quality assurance strategy that can be used to help monitor procedural safety and guide future improvement efforts in delivering ECT. While just the first step in creating meaningful quality improvement, setting clear standards and identifying areas of greatest clinical need was a crucial beginning for this hospital's growing program.

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“…1 zeigt, dass der Aspekt der respektvollen Behandlung aus Patientensicht am besten gelingt, er wird über alle Abteilungen hinweg mit 9,5 von 10 möglichen Punkten bewertet. Die Vorbereitung des Arztes auf den Behandlungstermin wird hingegen mit am kritischsten gesehen (8,6). Insgesamt haben 7,0 % der Befragten den Arzt als mäßig bis sehr schlecht vorbereitet wahrgenommen (ohne Abb.…”

Section: Untersuchungssituation Und Umgang Mit Dem Patientenunclassified

“…Feedback und Audits sind geeignet, klinische Fähigkeiten zu verbessern [5,6]. Auch ein Feedback von Patienten, insbesondere hinsichtlich der Kommunikation, kann eine Veränderung beim Arzt bewirken [7].…”

Section: Introductionunclassified

Patienten zeigen sich zufrieden mit der Arzt-Patienten-Kommunikation – eine Pilotstudie mit dem „Individual Clinician Feedback“- Fragebogen

et al. 2017

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The Impact of Feedback of Surgical Outcome Data on Surgical Performance: A Systematic Review

Cited by 31 publications

References 31 publications

Attainment of Core Competencies Milestones in Otolaryngology Residency Training in Taiwan: A Pilot Study

Attainment of Core Competencies Milestones in Otolaryngology Residency Training in Taiwan: A Pilot Study

Developing and Implementing a Quality Assurance Strategy for Electroconvulsive Therapy

Patienten zeigen sich zufrieden mit der Arzt-Patienten-Kommunikation – eine Pilotstudie mit dem „Individual Clinician Feedback“- Fragebogen

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