A case‐based teaching module combined with audit and feedback to improve the quality of consultations

Wright, Renee; Howell, Eric; Landis, Regina; Wright, Scott M.; Kisuule, Flora; Jordan, Myechia Minter

doi:10.1002/jhm.532

Cited by 8 publications

(5 citation statements)

References 20 publications

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“…These recommendations have been incorporated into subspecialty guidance documents on the subject (14) and case-based improvement efforts (15). Goldman and colleagues' review (4), and Salerno's subsequent update, derived from a survey of 323 physicians about their ideal interaction with consultants (6), provided prescriptive recommendations to consultants.…”

Section: Discussionmentioning

confidence: 99%

Elements of a High-Quality Inpatient Consultation in the Intensive Care Unit. A Qualitative Study

et al. 2013

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Section: Discussionmentioning

confidence: 99%

Elements of a High-Quality Inpatient Consultation in the Intensive Care Unit. A Qualitative Study

et al. 2013

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“…According to other studies, mean consultation quality in Canada was more than other countries. An interventional study in the USA indicated that mean consultation quality was improved by curricular intervention (Wright et al , 2009).…”

Section: Discussionmentioning

confidence: 99%

Determinants of a high-quality consultation in medical communications: a systematic review of qualitative and quantitative evidence

Bahadori

Hasanpoor

Yaghoubi

et al. 2019

IJHRH

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Purpose The medical consultation is one of the requirements in diseases diagnosis and patient treatment. In addition, a high-quality consultation is a fundamental demand of patients, and it is one of the rights of every patient. The purpose of this paper is to identify factors affecting the high-quality consultation in medical communications. Design/methodology/approach The following electronic databases were searched: MEDLINE (via PubMed), Web of Science, Cochrane, EMBASE, Scopus and ProQuest until December 2018. In addition, the authors searched Google Scholar. Qualitative and quantitative studies were assessed using the Critical Appraisal Skills Programme, Qualitative Checklist and the Center for Evidence-Based Management appraisal checklist, respectively. A stepwise approach was conducted for data synthesis. Findings Of 3,826 identified studies, 29 met the full inclusion criteria. Overall, after quality assessment of studies, 25 studies were included. The studies were conducted in the USA (n=6), the UK (n=6), the Netherlands (n=4), Canada (n=2), Belgium (n=2), Poland (n=2), Germany (n=1), Iran (n=1), Finland (n=1), Austria (n=1), Qatar (n=1), Denmark (n=1) and China (n=1), and five studies were excluded. Data synthesis showed that high-quality consultation consisted of three main categories: structural (4 main themes with 26 sub-themes), process (2 main themes with 33 sub-themes) and outcome (3 main themes with 12 sub-themes) quality. Originality/value Using the indicators of consultation quality improvement can develop physicians’ clinical competence and skills. Decision makers can use them to monitor and evaluate physicians’ performance. A high-quality consultation can be useful in social prescribing that helps patients to manage their disease.

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“…Based on our review of the literature, of 3 published interventions applying audit and feedback in the hospital setting, 20-22 only one 20 targeted hand hygiene improvement. No published interventions have applied audit, feedback, or in-person coaching to professionalism metrics.…”

Section: Discussionmentioning

confidence: 99%

Improving Resident Engagement in Quality Improvement and Patient Safety Initiatives at the Bedside

et al. 2012

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Quality improvement (QI) and patient safety (PS) are essential competencies in residency training; however, the most effective means to engage physicians remains unclear. The authors surveyed all medicine and surgery physicians at their institution to describe QI/PS practices and concurrently implemented the Advocate for Clinical Education (ACE) program to determine if a physician-centered program in the context of educational structures and at the point of care improved performance. The ACE rounded with medicine and surgery teams and provided individual and team-level education and feedback targeting 4 domains: professionalism, infection control, interpreter use, and pain assessment. In a pilot, the ACE observed 2862 physician-patient interactions and 178 physicians. Self-reported compliance often was greater than the behaviors observed. Following ACE implementation, observed professionalism behaviors trended toward improvement; infection control also improved. Physicians were highly satisfied with the program. The ACE initiative is one coaching/feedback model for engaging residents in QI/PS that may warrant further study.

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A case‐based teaching module combined with audit and feedback to improve the quality of consultations

Abstract: This curricular intervention including audit and feedback was effective in improving the quality of medical consultations performed by hospitalist physicians.

Cited by 8 publications

References 20 publications

Elements of a High-Quality Inpatient Consultation in the Intensive Care Unit. A Qualitative Study

Elements of a High-Quality Inpatient Consultation in the Intensive Care Unit. A Qualitative Study

Determinants of a high-quality consultation in medical communications: a systematic review of qualitative and quantitative evidence

Improving Resident Engagement in Quality Improvement and Patient Safety Initiatives at the Bedside

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