A mixed methods approach to developing and evaluating oncology trainee education around minimization of adverse events and improved patient quality and safety




Background Adverse events are a significant quality and safety issue in the hospital setting due to their direct impact on patients. Additionally, such events are often handled by junior doctors due to their direct involvement with patients. As such, it is important for health care organizations to prioritize education and training for junior doctors on identifying adverse events and handling them when they occur. The Cancer Cup Challenge is an educational program focuses on quality improvement and adverse event awareness targeting for junior oncology doctors across three international sites. Methods A mixed methodology was used to develop and evaluate the program. The Qstream spaced learning platform was used to disseminate information to participants, as it has been demonstrated to impact on both knowledge and behavior. Eight short case based scenarios with expert feedback were developed by a multidisciplinary advisory committee containing representatives from the international sites. At the conclusion of the course impact on participant knowledge was evaluated using analysis of the metrics collected by the Qstream platform. Additionally, an online survey and semi-structured interviews were used to evaluate engagement and perceived value by participants. Results A total of 35 junior doctors registered to undertake the Qstream program, with 31 (88.57?%) successfully completing it. Analysis of the Qstream metrics revealed 76.57?% of cases were answered correctly on first attempt. The post-program survey received 17 responses, with 76.47?% indicating cases for the course were interesting and 82.35?% feeling cases were relevant. Finally, 14 participants consented to participate in semi-structured interviews about the program, with feedback towards the course being generally very positive. Conclusions Our study demonstrates that an online game is well accepted by junior doctors as a method to increase their quality improvement awareness. Developing effective and sustainable training for doctors is important to ensure positive patient outcomes are maintained in the hospital setting. This is particularly important for junior doctors as they are working closely with patients and learning skills and behaviors, which will influence their practice throughout their careers.
机译:背景不良事件由于直接影响患者,因此在医院环境中是重要的质量和安全问题。另外,由于此类事件直接涉及患者,因此通常由初级医生处理。因此,对于卫生保健组织而言,重要的是优先安排初级医生的教育和培训,以识别不良事件并在发生不良事件时进行处理。癌症杯挑战赛是一项教育计划,旨在针对三个国际站点的初级肿瘤医生,提高质量和不良事件意识。方法采用混合方法开发和评估程序。 Qstream间隔学习平台用于向参与者传播信息,因为它已经证明对知识和行为都有影响。一个多学科咨询委员会开发了八种基于短案例的方案,并提供了专家反馈,其中包括来自国际场所的代表。在课程结束时,通过分析Qstream平台收集的指标来评估对参与者知识的影响。此外,还使用在线调查和半结构化访谈来评估参与者的参与度和感知价值。结果共有35名初级医生注册参加Qstream计划,其中31名(88.57%)成功完成了该计划。对Qstream指标的分析显示,首次尝试正确回答了76.57%的案例。程序后调查收到了17份答复,其中76.47%表示该课程的案例很有趣,而82.35%的感觉案例是相关的。最后,有14名参与者同意参加有关该计划的半结构化访谈,并且对该课程的反馈通常非常积极。结论我们的研究表明,在线游戏已被初级医生广泛接受,作为提高他们的质量改进意识的一种方法。对医生进行有效而可持续的培训对于确保在医院环境中保持积极的患者成果至关重要。对于初级医生而言,这尤其重要,因为他们与患者密切合作并学习技能和行为,这将影响其整个职业生涯。



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