A Novel Approach to Practice-Based Learning and Improvement Using a Web-Based Audit and Feedback Module

Systematically engaging residents in large programs in quality improvement (QI) is challenging. To coordinate a shared QI project in a large residency program using an online tool. A web-based QI tool guided residents through a 2-phase evaluation of performance of foot examinations in patients with...

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Veröffentlicht in:Journal of graduate medical education 2014-09, Vol.6 (3), p.541-546
Hauptverfasser: Boggan, Joel C, Cheely, George, Shah, Bimal R, Heffelfinger, Randy, Springall, Deanna, Thomas, Samantha M, Zaas, Aimee, Bae, Jonathan
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Sprache:eng
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Zusammenfassung:Systematically engaging residents in large programs in quality improvement (QI) is challenging. To coordinate a shared QI project in a large residency program using an online tool. A web-based QI tool guided residents through a 2-phase evaluation of performance of foot examinations in patients with diabetes. In phase 1, residents completed reviews of health records with online data entry. Residents were then presented with personal performance data relative to peers and were prompted to develop improvement plans. In phase 2, residents again reviewed personal performance. Rates of performance were compared at the program and clinic levels for each phase, with data presented for residents. Acceptability was measured by the number of residents completing each phase. Feasibility was measured by estimated faculty, programmer, and administrator time and costs. Seventy-nine of 86 eligible residents (92%) completed improvement plans and reviewed 1471 patients in phase 1, whereas 68 residents (79%) reviewed 1054 patient charts in phase 2. Rates of performance of examination increased significantly between phases (from 52% to 73% for complete examination, P 
ISSN:1949-8349
1949-8357
DOI:10.4300/JGME-D-14-00016.1