Gonsenhauser Iahn, Beal Eliza, Shihadeh Fadi, Mekhjian Hagop S, Moffatt-Bruce Susan D
The Ohio State University College of Medicine, USA.
J Healthc Qual. 2012 Nov-Dec;34(6):36-42. doi: 10.1111/j.1945-1474.2012.00160.x.
This study tested the feasibility of a quality improvement (QI) program that provided first and second year medical students with education in QI processes and demonstrate their utility within the framework of a real-world QI project. Medical students assessed the use of the Surgical Safety Checklist at The Ohio State University Medical Center. Before performing audits students were required to complete a self-paced online program that provided preliminary education in QI, patient safety, leadership, teamwork, and patient-centered care. A 2.5-hr orientation introduced basic operating room protocol, and the surgical checklist audit tool. Orientation included a multimedia simulation of checklist usage and a role-playing exercise simulating its use. Students completed pre- and postparticipation assessments. Results included an increased knowledge of QI methodology, an improved understanding of the evidence supporting the need for QI projects within health systems, and a greater awareness of available QI projects. Students' perspectives changed to indicate an increased belief that QI is the responsibility of all health professionals including physicians, administrators and other staff. This study concluded that QI education can be effectively disseminated to medical students early in their education using existing online tools and experiential QI projects, and can result in actionable QI data supporting hospital improvement initiatives.
本研究测试了一项质量改进(QI)计划的可行性,该计划为医学专业一、二年级学生提供QI流程教育,并在实际QI项目框架内展示其效用。医学院学生评估了俄亥俄州立大学医学中心手术安全检查表的使用情况。在进行审核之前,学生需要完成一个自主学习的在线课程,该课程提供了关于QI、患者安全、领导力、团队合作和以患者为中心的护理的初步教育。一个2.5小时的培训介绍了基本的手术室规程和手术检查表审核工具。培训包括检查表使用的多媒体模拟和模拟其使用的角色扮演练习。学生完成了参与前和参与后的评估。结果包括对QI方法的了解增加、对支持卫生系统内QI项目必要性的证据的理解得到改善,以及对可用QI项目的认识提高。学生的观点发生了变化,表明他们越来越相信QI是所有卫生专业人员(包括医生、管理人员和其他工作人员)的责任。本研究得出结论,使用现有的在线工具和体验式QI项目,可以在医学学生教育早期有效地向他们传播QI教育,并可以产生支持医院改进计划的可操作QI数据。