Evidence map›Paper›PMID 32326951›Full record

ArticleBMC medical education2020

Efficacy of quality improvement and patient safety workshops for students: a pilot study.

Kevin P Shah, Shreya Goyal, Vignesh Ramachandran, Jaden R Kohn, Jonathan A Go, Zachary Wiley, Anoosha Moturu, Meera K Namireddy, Anjali Kumar, Ryan C Jacobs and 11 more

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in BMC medical education, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 1 institution in 1 country.

Kevin P ShahOffice of Undergraduate Medical Education, Baylor College of Medicine, Houston, TX, USA. shahkevres@gmail.com.ORCID http://orcid.org/0000-0002-7598-2024
Shreya GoyalOffice of Undergraduate Medical Education, Baylor College of Medicine, Houston, TX, USA.
Vignesh RamachandranOffice of Undergraduate Medical Education, Baylor College of Medicine, Houston, TX, USA.
Jaden R KohnOffice of Undergraduate Medical Education, Baylor College of Medicine, Houston, TX, USA.
Jonathan A GoOffice of Undergraduate Medical Education, Baylor College of Medicine, Houston, TX, USA.
Zachary WileyOffice of Undergraduate Medical Education, Baylor College of Medicine, Houston, TX, USA.
Anoosha MoturuOffice of Undergraduate Medical Education, Baylor College of Medicine, Houston, TX, USA.
Meera K NamireddyOffice of Undergraduate Medical Education, Baylor College of Medicine, Houston, TX, USA.
Anjali KumarOffice of Undergraduate Medical Education, Baylor College of Medicine, Houston, TX, USA.
Ryan C JacobsOffice of Undergraduate Medical Education, Baylor College of Medicine, Houston, TX, USA.
Matthew StampflOffice of Undergraduate Medical Education, Baylor College of Medicine, Houston, TX, USA.
Jesal R ShahOffice of Undergraduate Medical Education, Baylor College of Medicine, Houston, TX, USA.
Justin FuOffice of Undergraduate Medical Education, Baylor College of Medicine, Houston, TX, USA.
Weijie V LinOffice of Undergraduate Medical Education, Baylor College of Medicine, Houston, TX, USA.
Brandon HoOffice of Undergraduate Medical Education, Baylor College of Medicine, Houston, TX, USA.
Grace WeyOffice of Undergraduate Medical Education, Baylor College of Medicine, Houston, TX, USA.
Sophie Y LinOffice of Undergraduate Medical Education, Baylor College of Medicine, Houston, TX, USA.
Andrew C CarusoDepartment of Medicine, Section of General Internal Medicine, Baylor College of Medicine, Houston, TX, USA.
Lindsey Jordan GayDepartment of Medicine, Section of General Internal Medicine, Baylor College of Medicine, Houston, TX, USA.
Diana E StewartDepartment of Medicine, Section of General Internal Medicine, Baylor College of Medicine, Houston, TX, USA.
Sara AndrabiDepartment of Emergency Medicine, Baylor College of Medicine, Houston, TX, USA.
Baylor College of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile the Association of American Medical Colleges encourages medical schools to incorporate quality improvement and patient safety (QI/PS) into their curriculum, medical students continue to have limited QI/PS exposure. To prepare medical students for careers that involve QI/PS, the Institute for Healthcare Improvement chapter at an allopathic medical school and school of allied health professions initiated self-directed learning by offering student-led workshops to equip learners with skills to improve the quality and safety of healthcare processes.

methodsIn this prospective cohort study, workshops were hosted for medical students between 2015 and 2018 on five QI/PS topics: Process Mapping, Root-Cause Analysis (RCA), Plan-Do-Study-Act (PDSA) Cycles, Evidence Based Medicine (EBM), and Patient Handoffs. Each workshop included a hands-on component to engage learners in practical applications of QI/PS skills in their careers. Change in knowledge, attitudes, and behaviors was assessed via pre- and post-surveys using 5-point Likert scales, and analyzed using either the McNemar test or non-parametric Wilcoxon signed-rank test. Surveys also gathered qualitative feedback regarding strengths, future areas for improvement, and reasons for attending the workshops.

resultsData was collected from 88.5% of learners (n = 185/209); 19.5% of learners reported prior formal instruction in these topics. Statistically significant improvements in learners' confidence were observed for each workshop. Additionally, after attending workshops, learners felt comfortable teaching the learned QI/PS skill to colleagues (mean pre/post difference 1.96, p < 0.0001, n = 139) and were more likely to pursue QI/PS projects in their careers (mean pre/post difference 0.45, p < 0.0001, n = 139). Lastly, learners demonstrated a statistically significant increase in knowledge in four out of five skills workshop topics.

conclusionFew medical students have formal instruction in QI/PS tools. This pilot study highlights advantages of incorporating an innovative, student-directed modified 'flipped classroom' methodology, with a focus on active experiential learning and minimal didactic instruction.

Indexed as

CurriculumQuality ImprovementEducation, Medical, UndergraduateFormative FeedbackHumansPatient SafetyPeer GroupPilot ProjectsProblem-Based LearningProgram EvaluationProspective StudiesStudents, MedicalSurveys and QuestionnairesCurriculumExperiential learningHands-onHealth professions studentsMedical educationMedical studentsPatient safetyPeer-to-peer teachingQuality improvementStudent-ledWorkshops

Identifiers

PMID32326951
PMCPMC7181569
OpenAlexW3018336943

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.