Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care transitions at the University of California

Ulfat Shaikh, Nasim Afsar-Manesh, Alpesh N. Amin, Brian Clay, Sumant R. Ranji

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Quality issue: Implementing quality improvement (QI) education during clinical training is challenging due to time constraints and inadequate faculty development in these areas. Initial assessment: Quiz-based reinforcement systems show promise in fostering active engagement, collaboration, healthy competition and real-time formative feedback, although further research on their effectiveness is required. Choice of solution: An online quiz-based reinforcement system to increase resident and faculty knowledge in QI, patient safety and care transitions. Implementation: Experts in QI and educational assessment at the 5 University of California medical campuses developed a course comprised of 3 quizzes on Introduction to QI, Patient Safety and Care Transitions. Each quiz contained 20 questions and utilized an online educational quizbased reinforcement system that leveraged spaced learning. Evaluation: Approximately 500 learners completed the course (completion rate 66-86%). Knowledge acquisition scores for all quizzes increased after completion: Introduction to QI (35-73%), Patient Safety (58-95%), and Care Transitions (66-90%). Learners reported that the quiz-based system was an effective teaching modality and preferred this type of education to classroom-based lectures. Suggestions for improvement included reducing frequency of presentation of questions and utilizing more questions that test learners on application of knowledge instead of knowledge acquisition. Lessons learned: A multi-campus online quiz-based reinforcement system to train residents in QI, patient safety and care transitions was feasible, acceptable, and increased knowledge. The course may be best utilized to supplement classroom-based and experiential curricula, along with increased attention to optimizing frequency of presentation of questions and enhancing application skills.

Original languageEnglish (US)
Pages (from-to)735-739
Number of pages5
JournalInternational Journal for Quality in Health Care
Volume29
Issue number5
DOIs
StatePublished - Oct 1 2017

Keywords

  • Human resources
  • Patient safety
  • Quality improvement
  • Quality management
  • Training/education

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

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