School of Medicine Publications and Presentations
Document Type
Article
Publication Date
5-2019
Abstract
Objective
To assess the impact of implementing a dedicated Patient Safety and Quality Improvement (PSQI) curriculum for otolaryngology residents.
Methods
Residents in two otolaryngology residency programs were recruited to participate in the study. Residents at institution A (intervention group) participated in a formal, newly developed, year-long PSQI curriculum. Residents at institution B (control group) participated in traditional, morbidity, and mortality conference-based PSQI education, with no formal curriculum in place. Curriculum participants completed anonymous surveys to assess learner satisfaction. Validated instruments were administered to assess for changes in resident confidence in the ability to develop PSQI projects, their attitudes toward patient safety, and PSQI-related knowledge. The number and quality of PSQI-related resident projects were also assessed.
Results
Survey responses demonstrated excellent learner satisfaction with the curriculum. Based on validated instrument-based responses, both programs demonstrated similar confidence scores (P = 0.05), safety attitudes (P = 0.82), and PSQI knowledge (P = 0.29) at the beginning of the year. The residents of institution A demonstrated significant improvement in confidence (P = 0.00009) and knowledge (P = 0.0006) after completing the curriculum, with no improvement noted for residents at institution B in either confidence (P = 0.06) or knowledge (P = 0.79). Neither program demonstrated improvement in attitudes toward patient safety at the end of the year-long curriculum.
Conclusion
Implementing a formal curriculum dedicated to PSQI led to an improvement in PSQI-related project development confidence and PSQI knowledge. Attitudes toward safety did not improve over the course of a year. Longer-term studies involving multiple institutions and other interventions are needed to evaluate the impact and duration of changes that occur.
Level of Evidence
1b Laryngoscope, 129:1100–1106, 2019
Recommended Citation
Jamal, N., Bowe, S.N., Brenner, M.J., Balakrishnan, K. and Bent, J.P. (2019), Impact of a Formal Patient Safety and Quality Improvement Curriculum: A Prospective, Controlled Trial. The Laryngoscope, 129: 1100-1106. https://doi.org/10.1002/lary.27527
Publication Title
The Laryngoscope
DOI
10.1002/lary.27527
Academic Level
faculty
Comments
Original published version available at https://doi.org/10.1002/lary.27527