Can medical students contribute to quality assurance programmes in day surgery?

Rudkin, Glenda E.; O’Driscoll, Mary; Limb, R. I.

doi:10.1046/j.1365-2923.1999.00354.x

Cited by 4 publications

(1 citation statement)

References 9 publications

(20 reference statements)

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“…In an Australian study, medical students were asked to follow a patient from admission to discharge. Afterwards, these students were very well able to identify QA issues and even to propose solutions [15]. Categories of problems highlighted by these students included inappropriate patient and procedure selection, inadequate pain management, discharge, communication and resource issues.…”

Section: Process Analysismentioning

confidence: 99%

Quality assessment in surgery: where do we stand now and where should we be heading?

et al. 2014

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While surgery is gaining in efficiency it is equally getting more and more complex. Meanwhile patients are getting more and more demanding. In the past decades, safety and quality have become prominent criteria by which surgical care is evaluated. Several important factors can be identified which are influencing the quality of surgical care, in our view these factors can be classified into four major groups: the team of caretakers, the patient, the material, and the procedure. For all of these factors, a high level of knowledge and optimal communication is crucial to guarantee a high standard of care and minimize the chance of complications. Different quality assessment tools are currently used in surgery. Databases of surgical procedures have the potential to offer an enormous amount of information on the quality of care. However, the implementation of comprehensive databases is difficult and expensive, while its value is overshadowed by possible underreporting. Introducing surgical checklists is a cheap yet efficient way to increase both the safety and the quality of surgical care. Nevertheless, its implementation is sometimes opposed since they slow down the patient flow. The risk of complications tends to increase when a new technique is introduced. Therefore, quality assurance (QA) programs have to be implemented. Surgical simulation training is rapidly becoming a necessary adjunct to traditional patient-based training models. Finally, key performance indicators (KPI) can be used for measuring the success of medical interventions such as surgery. For the near future, the introduction of one comprehensive medical file per patient could be a major step in increasing the safety and efficiency of our medical deeds. In parallel, a nationwide prospective registry for surgical interventions should be introduced. Postgraduate surgical training should be organized by the national professional groups and should be adapted to the local needs. A system of accreditation for specific interventions should be introduced guaranteeing their state-of-the-art application.

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Section: Process Analysismentioning

confidence: 99%

Quality assessment in surgery: where do we stand now and where should we be heading?

et al. 2014

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Indicadores de calidad asistencial en cirugía mayor ambulatoria

et al. 2004

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Innovative learning: employing medical students to write formative assessments

et al. 2006

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Peninsula Medical School, UK, employed six students to write MCQ items for a formative applied medical knowledge item bank. The students successfully generated 260 quality MCQs in their six-week contracted period. Informal feedback from students and two staff mentors suggests that the exercise provided a very effective learning environment and that students felt they were 'being paid to learn'. Further research is under way to track the progress of the students involved in the exercise, and to formally evaluate the impact on learning.

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Can medical students contribute to quality assurance programmes in day surgery?

Abstract: Our study confirms that students are able to identify QA issues and propose solutions. We recommend that students have a formally recognized place in day surgery QA programmes, to close the QA loop and to adequately prepare them for medical practice in the 21st century.

Cited by 4 publications

References 9 publications

Quality assessment in surgery: where do we stand now and where should we be heading?

Quality assessment in surgery: where do we stand now and where should we be heading?

Indicadores de calidad asistencial en cirugía mayor ambulatoria

Innovative learning: employing medical students to write formative assessments

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