Training healthcare professionals in quality improvement

Worsley, C.; Webb, Steve; Vaux, Emma

doi:10.7861/futurehosp.3-3-207

Cited by 36 publications

(29 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“… 20 Guiding patients in the overloaded hospitals to shorten their waiting times and assisting people in Covid-19 pandemic within their capacity in multi-disciplined groups are feasible tasks. 14 Last but not least, Professional Habit referring to collaboration should be emphasized for the junior TM students due to their extreme underestimation of this trait.…”

Section: Discussionmentioning

confidence: 99%

Health Science Students’ Perspective on Quality-of-Care-Relating Medical Professionalism

Binh¹,

An²,

Nguyen³

et al. 2021

JMDH

View full text Add to dashboard Cite

Purpose Health science students need to be professional to improve quality of care (QOC) in the current Vietnamese healthcare system. Therefore, we aim to evaluate medicine and traditional medicine (TM) students’ perception of the professional attributes relating to QOC for improving inter-disciplined professionalism training that promotes QOC in Vietnam. Methods The cross-sectional study was carried on 2039 students of 6 years at the University of Medicine and Pharmacy at Ho Chi Minh City (HUMP) from the medical and TM faculty in March, 2021. The Vietnamese American Board of Internal Medicine (ABIM) questionnaire (2011) was used as the survey instrument. The confirmatory factor analysis (CFA) was performed to confirm the validity of the scale in TM students. Mean, Min–Max, standard deviation and sample paired t -test were performed for Likert scale. The one-way ANOVA was used for inferential statistics. Results The CFA demonstrated the validity of the Vietnamese questionnaire in measuring 4 QOC-relating professional attributes, previously found in medical students for TM students. In both faculties and across academic years, students perceived self-awareness and ensuring QOC as the leading important attribute, while social duty and professional habit as the least important attribute. Contrasting with preclinical phase, students’ perception did not differ significantly between the two faculties in their clinical years (p > 0.05). Conclusion TM students share universal QOC-relating professional traits with medical students. Moreover, exposure to clinical environment might increase inter-disciplined agreement on importance of these attributes. However, health sciences students’ underestimation of social duty and professional habit persists throughout 6 academic years. Hidden curriculum in clinical training such as specialist-centeredness might hinder the students’ improvement in perception of these traits. Therefore, these traits should strongly be emphasized in professionalism training to decrease the effects of hidden curriculum on them.

show abstract

Section: Discussionmentioning

confidence: 99%

Health Science Students’ Perspective on Quality-of-Care-Relating Medical Professionalism

Binh¹,

An²,

Nguyen³

et al. 2021

JMDH

View full text Add to dashboard Cite

show abstract

“…As the department’s specialists increasingly assumed roles of project sponsors or team leaders and residents as team members. This phenomenon becomes a strategic move because the specialist will be held accountable for the project progress, ensure improvement cycles were made sustainable with a better appreciation of the problems, and guide residents would be better guided in the project, hence addressing the leadership and clinical relevance issues [ 17 ]. This yielded mutual benefits with the specialists having a better shot at succeeding or sustaining projects; trainees were able to have clearer directions and better experiential learning in a QI project.…”

Section: Discussionmentioning

confidence: 99%

Implementation of a Quality Improvement Roadmap in the Department of Internal Medicine of an Academic Medical Centre in Singapore

Ong¹,

Balakrishnan²,

Kang³

2021

Cureus

View full text Add to dashboard Cite

Background: Clarity in directions and constant engagement efforts are crucial to implementing high-quality interventions in Quality Improvement (QI) initiatives. It underpins the success to achieve impactful improvement, effectiveness of interventions through clinical leadership and project sustainability. Our objective was to implement a QI roadmap to improve QI participation of specialists and to clearly align projects and stakeholders to achieve departmental priorities and goals. Methods: Baseline measurement of Department of Internal Medicine (DIM) specialists involved in QI projects was performed. Root cause analysis and prioritization was conducted to determine the interventions. Series of interventions to address challenges faced by stakeholders to ensure congruency of directions that included collective learning sessions, planning of communication, and documenting progress with checkpoint meetings were carried out. A survey was conducted before and after interventions. Results: QI projects' participation rates of DIM specialists increased to 82.6% from 26.3% with an increase in uptake in leadership roles from three to nine specialists within the 12 months. The perception survey showed a positive shift in attitudes with greater ease in applying QI tools and concepts, with an increase of 25.7% in 2020 as compared to 2018. With the ease of completing QI projects, DIM specialists became more confident after intervention at 63.2% compared to 42.1% before and also regarded the department to be much stronger in QI culture with an improvement of 51.2%. DIM QI strategic themes model was borne from developing the core focus areas of the departments in order to align existing and prospective QI projects to the established themes. Conclusion: Department-specific goals and priorities with dedicated interventions are important in driving the interest and ownership to initiate QI projects that align to solve operational problems. The ease in creating the strategic themes model targeting key performance indicators and matching QI projects to the relevant themes, lowers activation barrier and promotes spread due to its simplicity to create and use for communication.

show abstract

“…Education and training may also help prevent errors (both failure of planning and in execution) and maintain the quality of care provided to patients 19–21 . Formal perineal tear repair courses for clinicians have been shown to improve various aspects of care, including an increase from 5% to 17% of patients receiving six‐week follow‐up 22 .…”

Section: Discussionmentioning

confidence: 99%

Perineal trauma management and follow‐up: Are we meeting the standard of care?

Peiris‐John

Park

Wells

et al. 2020

Aust NZ J Obst Gynaeco

View full text Add to dashboard Cite

Background Birth‐related third‐ and fourth‐degree perineal trauma is common and associated with short‐ and long‐term complications. Aim To conduct a review of clinical audits investigating management of women with perineal trauma. Materials and Methods We identified all audits undertaken in eight New Zealand public hospitals between 2005 and 2014 that investigated whether women with birth‐related third‐ and fourth‐degree perineal trauma were receiving care according to clinical guidelines. We aggregated audit results and calculated the proportion of women receiving the recommended standard of care. Results During the review period, 25 audits investigated intra‐operative (n = 11), post‐operative (n = 14) and outpatient care (n = 18). Baseline audits showed variation in care by site; intra‐operative care (range 39–96% for repair conducted under anaesthesia, 60–96% for repair by or under supervision of a senior clinician, and 33–54% for completion of Accident Compensation Corporation forms); post‐operative care (range 40–93% for prescribed antibiotics and 33–96% for stool softeners) and outpatient care (45–84% for referral to outpatient clinic and 54–78% for physiotherapy follow‐up). Sustained high quality of care and improvements in adherence with recommendations were seen for most of the follow‐up audits (eg 90% adherence for prescribed stool softeners over three audits; over 50% increase in prescribed antibiotics over seven years). Conclusions These clinical audits exemplify the need to measure patient care against standards, learn from the findings, implement changes to improve patient experience and reduce life‐long sequelae from perineal trauma. This review showed some progress in some care services and highlighted where further changes are needed to close evidence‐practice gaps.

show abstract

Training healthcare professionals in quality improvement

Cited by 36 publications

References 9 publications

Health Science Students’ Perspective on Quality-of-Care-Relating Medical Professionalism

Health Science Students’ Perspective on Quality-of-Care-Relating Medical Professionalism

Implementation of a Quality Improvement Roadmap in the Department of Internal Medicine of an Academic Medical Centre in Singapore

Perineal trauma management and follow‐up: Are we meeting the standard of care?

Contact Info

Product

Resources

About