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Quality Education and Safe Systems Training (QuESST): Development and Assessment of a Comprehensive Cross-Disciplinary Resident Quality and Patient Safety Curriculum

机译:素质教育和安全系统培训(QuESST):制定和评估综合的跨学科住院医师质量和患者安全课程

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BackgroundOver the past decade, regulatory bodies have heightened their emphasis on health care quality and safety. Education of physicians is a priority in this effort, with the Accreditation Council for Graduate Medical Education requiring that trainees attain competence in practice-based learning and improvement and systems-based practice. To date, several studies about the use of resident education related to quality and safety have been published, but no comprehensive interdisciplinary curricula seem to exist. Effective, formal, comprehensive cross-disciplinary resident training in quality and patient safety appear to be a vital need.MethodsTo address the need for comprehensive resident training in quality and patient safety, we developed and assessed a formal standardized cross-disciplinary curriculum entitled Quality Education and Safe Systems Training (QuESST). The curriculum was offered to first-year residents in a large urban medical center. Preintervention and postintervention assessments and participant perception surveys evaluated the effectiveness and educational value of QuESST.ResultsA total of 138 first-year medical and pharmacy residents participated in the QuESST course. Paired analysis of preintervention and postintervention assessments showed significant improvement in participants' knowledge of quality and patient safety. Participants' perceptions about the value of the curriculum were favorable, as evidenced by a mean response of 1.8 on a scale of 1 (strongly agree) to 5 (strongly disagree) that the course should be taught to subsequent residency classes.ConclusionQuESST is an effective comprehensive quality curriculum for residents. Based on these findings, our institution has made QuESST mandatory for all future first-year resident cohorts. Other institutions should explore the value of QuESST or a similar curriculum for enhancing resident competence in quality and patient safety.
机译:背景技术在过去的十年中,监管机构越来越重视医疗保健的质量和安全性。在这项工作中,医师教育是优先事项,研究生医学教育认可委员会要求受训者必须具有基于实践的学习和改进以及基于系统的实践的能力。迄今为止,已经发表了一些有关使用居民教育的有关质量和安全性的研究,但是似乎没有综合的跨学科课程。有效,正式,全面的跨学科住院医师培训在质量和患者安全方面似乎是至关重要的方法。方法为了满足对住院医师在质量和患者安全方面进行综合培训的需求,我们开发并评估了名为“质量教育”的正式标准化跨学科课程和安全系统培训(QuESST)。该课程是为大型城市医疗中心的一年级居民提供的。干预前和干预后评估以及参与者知觉调查评估了QuESST的有效性和教育价值。结果总共有138名第一年的医疗和药学居民参加了QuESST课程。干预前和干预后评估的配对分析显示,参与者对质量和患者安全性的了解显着提高。参与者对课程价值的看法是良好的,证据是1.8(在1(强烈同意)至5(强烈不同意)的等级中,应将课程教授给后续的居住课程。结论QuESST是一种有效的方法居民综合素质课程。基于这些发现,我们的机构已将QuESST强制用于所有未来的第一年居民群体。其他机构应探索QuESST或类似课程的价值,以提高居民在质量和患者安全方面的能力。

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