A mixed methods approach to developing and evaluating oncology trainee education around minimization of adverse events and improved patient quality and safety

Anna Janssen, Tim Shaw, Lauren Bradbury, Tania Moujaber, Anne Mette N¿rrelykke, Jessica A. Zerillo, Ann LaCasce, John Patrick Atrick T Co, Tracy Robinson, Alison Starr, Paul Harnett

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Adverse events are a significant quality and safety issue in the hospital setting due to their direct impact on patients. Additionally, such events are often handled by junior doctors due to their direct involvement with patients. As such, it is important for health care organizations to prioritize education and training for junior doctors on identifying adverse events and handling them when they occur. The Cancer Cup Challenge is an educational program focuses on quality improvement and adverse event awareness targeting for junior oncology doctors across three international sites. Methods: A mixed methodology was used to develop and evaluate the program. The Qstream spaced learning platform was used to disseminate information to participants, as it has been demonstrated to impact on both knowledge and behavior. Eight short case based scenarios with expert feedback were developed by a multidisciplinary advisory committee containing representatives from the international sites. At the conclusion of the course impact on participant knowledge was evaluated using analysis of the metrics collected by the Qstream platform. Additionally, an online survey and semi-structured interviews were used to evaluate engagement and perceived value by participants. Results: A total of 35 junior doctors registered to undertake the Qstream program, with 31 (88.57 %) successfully completing it. Analysis of the Qstream metrics revealed 76.57 % of cases were answered correctly on first attempt. The post-program survey received 17 responses, with 76.47 % indicating cases for the course were interesting and 82.35 % feeling cases were relevant. Finally, 14 participants consented to participate in semi-structured interviews about the program, with feedback towards the course being generally very positive. Conclusions: Our study demonstrates that an online game is well accepted by junior doctors as a method to increase their quality improvement awareness. Developing effective and sustainable training for doctors is important to ensure positive patient outcomes are maintained in the hospital setting. This is particularly important for junior doctors as they are working closely with patients and learning skills and behaviors, which will influence their practice throughout their careers.
Original languageEnglish
Pages (from-to)1-9
Number of pages9
JournalBMC Medical Education
Volume16
Issue number1
DOIs
Publication statusPublished - 2016

Fingerprint

Patient Safety
trainee
Education
event
Quality Improvement
education
Learning
Interviews
Advisory Committees
interview
online survey
educational program
electronic learning
Emotions
cancer
career
Organizations
expert
health care
scenario

Cite this

Janssen, Anna ; Shaw, Tim ; Bradbury, Lauren ; Moujaber, Tania ; N¿rrelykke, Anne Mette ; Zerillo, Jessica A. ; LaCasce, Ann ; Co, John Patrick Atrick T ; Robinson, Tracy ; Starr, Alison ; Harnett, Paul. / A mixed methods approach to developing and evaluating oncology trainee education around minimization of adverse events and improved patient quality and safety. In: BMC Medical Education. 2016 ; Vol. 16, No. 1. pp. 1-9.
@article{0b0fd3a5a26047c4bcfa50319c819f39,
title = "A mixed methods approach to developing and evaluating oncology trainee education around minimization of adverse events and improved patient quality and safety",
abstract = "Background: Adverse events are a significant quality and safety issue in the hospital setting due to their direct impact on patients. Additionally, such events are often handled by junior doctors due to their direct involvement with patients. As such, it is important for health care organizations to prioritize education and training for junior doctors on identifying adverse events and handling them when they occur. The Cancer Cup Challenge is an educational program focuses on quality improvement and adverse event awareness targeting for junior oncology doctors across three international sites. Methods: A mixed methodology was used to develop and evaluate the program. The Qstream spaced learning platform was used to disseminate information to participants, as it has been demonstrated to impact on both knowledge and behavior. Eight short case based scenarios with expert feedback were developed by a multidisciplinary advisory committee containing representatives from the international sites. At the conclusion of the course impact on participant knowledge was evaluated using analysis of the metrics collected by the Qstream platform. Additionally, an online survey and semi-structured interviews were used to evaluate engagement and perceived value by participants. Results: A total of 35 junior doctors registered to undertake the Qstream program, with 31 (88.57 {\%}) successfully completing it. Analysis of the Qstream metrics revealed 76.57 {\%} of cases were answered correctly on first attempt. The post-program survey received 17 responses, with 76.47 {\%} indicating cases for the course were interesting and 82.35 {\%} feeling cases were relevant. Finally, 14 participants consented to participate in semi-structured interviews about the program, with feedback towards the course being generally very positive. Conclusions: Our study demonstrates that an online game is well accepted by junior doctors as a method to increase their quality improvement awareness. Developing effective and sustainable training for doctors is important to ensure positive patient outcomes are maintained in the hospital setting. This is particularly important for junior doctors as they are working closely with patients and learning skills and behaviors, which will influence their practice throughout their careers.",
keywords = "Curriculum, Educational Measurement, Female, Games, Experimental, Humans, Male, Medical Errors/prevention & control, Medical Oncology/education, Patient Safety, Quality Improvement, Teaching",
author = "Anna Janssen and Tim Shaw and Lauren Bradbury and Tania Moujaber and N¿rrelykke, {Anne Mette} and Zerillo, {Jessica A.} and Ann LaCasce and Co, {John Patrick Atrick T} and Tracy Robinson and Alison Starr and Paul Harnett",
year = "2016",
doi = "10.1186/s12909-016-0609-1",
language = "English",
volume = "16",
pages = "1--9",
journal = "BMC Medical Education",
issn = "1472-6920",
publisher = "BioMed Central",
number = "1",

}

Janssen, A, Shaw, T, Bradbury, L, Moujaber, T, N¿rrelykke, AM, Zerillo, JA, LaCasce, A, Co, JPAT, Robinson, T, Starr, A & Harnett, P 2016, 'A mixed methods approach to developing and evaluating oncology trainee education around minimization of adverse events and improved patient quality and safety', BMC Medical Education, vol. 16, no. 1, pp. 1-9. https://doi.org/10.1186/s12909-016-0609-1

A mixed methods approach to developing and evaluating oncology trainee education around minimization of adverse events and improved patient quality and safety. / Janssen, Anna; Shaw, Tim; Bradbury, Lauren; Moujaber, Tania; N¿rrelykke, Anne Mette; Zerillo, Jessica A.; LaCasce, Ann; Co, John Patrick Atrick T; Robinson, Tracy; Starr, Alison; Harnett, Paul.

In: BMC Medical Education, Vol. 16, No. 1, 2016, p. 1-9.

Research output: Contribution to journalArticle

TY - JOUR

T1 - A mixed methods approach to developing and evaluating oncology trainee education around minimization of adverse events and improved patient quality and safety

AU - Janssen, Anna

AU - Shaw, Tim

AU - Bradbury, Lauren

AU - Moujaber, Tania

AU - N¿rrelykke, Anne Mette

AU - Zerillo, Jessica A.

AU - LaCasce, Ann

AU - Co, John Patrick Atrick T

AU - Robinson, Tracy

AU - Starr, Alison

AU - Harnett, Paul

PY - 2016

Y1 - 2016

N2 - Background: Adverse events are a significant quality and safety issue in the hospital setting due to their direct impact on patients. Additionally, such events are often handled by junior doctors due to their direct involvement with patients. As such, it is important for health care organizations to prioritize education and training for junior doctors on identifying adverse events and handling them when they occur. The Cancer Cup Challenge is an educational program focuses on quality improvement and adverse event awareness targeting for junior oncology doctors across three international sites. Methods: A mixed methodology was used to develop and evaluate the program. The Qstream spaced learning platform was used to disseminate information to participants, as it has been demonstrated to impact on both knowledge and behavior. Eight short case based scenarios with expert feedback were developed by a multidisciplinary advisory committee containing representatives from the international sites. At the conclusion of the course impact on participant knowledge was evaluated using analysis of the metrics collected by the Qstream platform. Additionally, an online survey and semi-structured interviews were used to evaluate engagement and perceived value by participants. Results: A total of 35 junior doctors registered to undertake the Qstream program, with 31 (88.57 %) successfully completing it. Analysis of the Qstream metrics revealed 76.57 % of cases were answered correctly on first attempt. The post-program survey received 17 responses, with 76.47 % indicating cases for the course were interesting and 82.35 % feeling cases were relevant. Finally, 14 participants consented to participate in semi-structured interviews about the program, with feedback towards the course being generally very positive. Conclusions: Our study demonstrates that an online game is well accepted by junior doctors as a method to increase their quality improvement awareness. Developing effective and sustainable training for doctors is important to ensure positive patient outcomes are maintained in the hospital setting. This is particularly important for junior doctors as they are working closely with patients and learning skills and behaviors, which will influence their practice throughout their careers.

AB - Background: Adverse events are a significant quality and safety issue in the hospital setting due to their direct impact on patients. Additionally, such events are often handled by junior doctors due to their direct involvement with patients. As such, it is important for health care organizations to prioritize education and training for junior doctors on identifying adverse events and handling them when they occur. The Cancer Cup Challenge is an educational program focuses on quality improvement and adverse event awareness targeting for junior oncology doctors across three international sites. Methods: A mixed methodology was used to develop and evaluate the program. The Qstream spaced learning platform was used to disseminate information to participants, as it has been demonstrated to impact on both knowledge and behavior. Eight short case based scenarios with expert feedback were developed by a multidisciplinary advisory committee containing representatives from the international sites. At the conclusion of the course impact on participant knowledge was evaluated using analysis of the metrics collected by the Qstream platform. Additionally, an online survey and semi-structured interviews were used to evaluate engagement and perceived value by participants. Results: A total of 35 junior doctors registered to undertake the Qstream program, with 31 (88.57 %) successfully completing it. Analysis of the Qstream metrics revealed 76.57 % of cases were answered correctly on first attempt. The post-program survey received 17 responses, with 76.47 % indicating cases for the course were interesting and 82.35 % feeling cases were relevant. Finally, 14 participants consented to participate in semi-structured interviews about the program, with feedback towards the course being generally very positive. Conclusions: Our study demonstrates that an online game is well accepted by junior doctors as a method to increase their quality improvement awareness. Developing effective and sustainable training for doctors is important to ensure positive patient outcomes are maintained in the hospital setting. This is particularly important for junior doctors as they are working closely with patients and learning skills and behaviors, which will influence their practice throughout their careers.

KW - Curriculum

KW - Educational Measurement

KW - Female

KW - Games, Experimental

KW - Humans

KW - Male

KW - Medical Errors/prevention & control

KW - Medical Oncology/education

KW - Patient Safety

KW - Quality Improvement

KW - Teaching

UR - http://www.scopus.com/inward/record.url?scp=84960934339&partnerID=8YFLogxK

UR - http://www.mendeley.com/research/mixed-methods-approach-developing-evaluating-oncology-trainee-education-around-minimization-adverse-1

U2 - 10.1186/s12909-016-0609-1

DO - 10.1186/s12909-016-0609-1

M3 - Article

VL - 16

SP - 1

EP - 9

JO - BMC Medical Education

JF - BMC Medical Education

SN - 1472-6920

IS - 1

ER -