The Quality Improvement Knowledge Application Tool Revised (QIKAT-R)

Abstract

The QIKAT-R is a user-friendly instrument that maintains the content and construct validity of the original QIKAT but provides greatly improved interrater reliability. The clarity within the key subsections aligns the assessment closely with QI knowledge application for students and residents.

X + Y = Time for QI: Meaningful Engagement of Residents in Quality Improvement During the Ambulatory Block

“…Using a 5-point scale (from 1, not confident, to 5, very confident), a rating of 4 or 5 was considered confident for each skill. We grouped skills into 4 levels: basic, intermediate, advanced, and aspirational (TABLE 3; With permission, we used the Quality Improvement Knowledge Application Tool-Revised (QIKAT-R) 29 to assess knowledge (provided as online supplemental material). Each resident completed 3 cases precurriculum and postcurriculum.…”

Integrating a Resident-Driven Longitudinal Quality Improvement Curriculum Within an Ambulatory Block Schedule

“…To better assess the effect of the curriculum, we plan to use the Revised Quality Improvement Knowledge Application Tool 23 to collect precurriculum and postcurriculum data about resident QI knowledge. Although in practice many graduates may not have a dedicated half-day to work on improvement projects, we hope that exposure to this curriculum will spur them to find alternative ways to maintain QI practice, which could be assessed in future surveys.…”

Clinical and Educational Outcomes of an Integrated Inpatient Quality Improvement Curriculum for Internal Medicine Residents

“…14 Educational outcomes were assessed at baseline, midpoint, and end point with the Quality Improvement Knowledge Application Tool-Revised (QIKAT-R), 15 selfreported efficacy, and attitudes about interprofessional care. 16 Resident satisfaction was assessed at midpoint for early intervention residents and at end point for late intervention residents.…”

“…Scores were summed, with the composite for each completed QIKAT-R instrument (3 cases) ranging from 0 to 27. 15 Six faculty members from institutions in the United States and Canada who had experience with the instrument scored the QIKAT-R, with each scorer randomly assigned to approximately one-third of the completed instruments. Scorers were blinded to the assessment time point, and whether respondents had participated in the QI curriculum (intervention) or not (control).…”