Chang Leslie, Kim Julia M, Pitts Samantha I, Halthore Aditya, Voong Khinh R, Wright Jean L
Department of Radiation Oncology, University of Minnesota, Minneapolis, USA.
Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore, USA.
Cureus. 2025 Aug 5;17(8):e89445. doi: 10.7759/cureus.89445. eCollection 2025 Aug.
Integrating a practice-based curriculum to cover essential aspects of patient safety and quality improvement (PSQI) in the outpatient setting can improve resident understanding and engagement in future projects within a radiation oncology residency program.
To develop and pilot a workshop-based PSQI curriculum to lead residents through a simulated departmental quality improvement project and enhance understanding regarding tools and metrics used within a PSQI framework.
This pilot project was completed in the 2023-2024 academic year, with 13 residents in one radiation oncology program. This educational program included four two-hour interactive PSQI workshops. Residents applied PSQI tools to a simulated scenario that reflected a department priority: to improve time from computed-tomography simulation to adaptive radiation therapy. Residents completed a 5-point Likert survey and an institutionally developed PSQI in-training exam before and after receiving the program to evaluate understanding of key concepts, measurement methodologies, strategies for improvement, and attitudes towards the adoption of PSQI in clinical practice.
The pilot workshop was successfully implemented during resident didactics. Although all thirteen residents were able to participate, eight (62%) residents completed all questionnaires. The curriculum led to improved comfort levels in applying PSQI techniques such as fishbone diagrams (pre-post mean Likert scores: 1.7 to 3.7, p< 0.01). PSQI in-training test scores significantly increased by 13% (57% to 70%, p<0.01).
The development and implementation of a PSQI curriculum in radiation oncology was feasible, improved baseline knowledge of PSQI techniques, and enhanced participant self-reported preparedness and skills for future PSQI projects.
整合基于实践的课程以涵盖门诊环境中患者安全与质量改进（PSQI）的重要方面，可提高放射肿瘤学住院医师培训项目中住院医师对未来项目的理解与参与度。
开发并试点基于工作坊的PSQI课程，引导住院医师完成模拟的科室质量改进项目，增强他们对PSQI框架内所使用工具和指标的理解。
该试点项目于2023 - 2024学年完成，一个放射肿瘤学项目中有13名住院医师参与。这个教育项目包括四个两小时的互动式PSQI工作坊。住院医师将PSQI工具应用于一个模拟场景，该场景反映了科室的一个优先事项：改善从计算机断层扫描模拟到自适应放射治疗的时间。住院医师在接受该项目前后完成了一份5级李克特量表调查和一份机构开发的PSQI在职考试，以评估对关键概念、测量方法、改进策略以及对在临床实践中采用PSQI的态度的理解。
在住院医师教学期间成功实施了试点工作坊。尽管所有13名住院医师都能够参与，但有8名（62%）住院医师完成了所有问卷。该课程使应用如鱼骨图等PSQI技术时的舒适度得到提高（前后平均李克特量表得分：从1.7提高到3.7，p<0.01）。PSQI在职测试成绩显著提高了13%（从57%提高到70%，p<0.01）。
放射肿瘤学中PSQI课程的开发与实施是可行的，提高了PSQI技术的基线知识，并增强了参与者自我报告的对未来PSQI项目的准备程度和技能。
