Nothing soft about ‘soft skills’: core competencies in quality improvement and patient safety education and practice

Goldman, Joanne; Wong, Brian M.

doi:10.1136/bmjqs-2019-010512

Cited by 28 publications

(20 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…During clinical residency training, inexperienced physicians go through a period of professional and personal growth. They acquire knowledge and skills [ 6 ], and experience many challenging clinical situations that build professional competency and thereby increase their confidence at work [ 34 ]. Generally, staff physicians are more certain of their clinical abilities and thus exude more confidence than residents.…”

Section: Discussionmentioning

confidence: 99%

“…The International Organization for Standardization defines workload as the totality of external conditions and requirements in a work system, which affects the physiological and/or psychological state of a person [ 5 ]. The perceived workload and a person’s ability to create and maintain adequate situation awareness are interconnected [ 6 ]. Situation awareness incorporates the perception of the current status of a situation’s critical elements, with understanding of their meaning, and the projection of this knowledge into the near future [ 2 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Validation of the Raw National Aeronautics and Space Administration Task Load Index (NASA-TLX) Questionnaire to Assess Perceived Workload in Patient Monitoring Tasks: Pooled Analysis Study Using Mixed Models

Said¹,

Gozdzik²,

Roche³

et al. 2020

J Med Internet Res

View full text Add to dashboard Cite

Background Patient monitoring is indispensable in any operating room to follow the patient’s current health state based on measured physiological parameters. Reducing workload helps to free cognitive resources and thus influences human performance, which ultimately improves the quality of care. Among the many methods available to assess perceived workload, the National Aeronautics and Space Administration Task Load Index (NASA-TLX) provides the most widely accepted tool. However, only few studies have investigated the validity of the NASA-TLX in the health care sector. Objective This study aimed to validate a modified version of the raw NASA-TLX in patient monitoring tasks by investigating its correspondence with expected lower and higher workload situations and its robustness against nonworkload-related covariates. This defines criterion validity. Methods In this pooled analysis, we evaluated raw NASA-TLX scores collected after performing patient monitoring tasks in four different investigator-initiated, computer-based, prospective, multicenter studies. All of them were conducted in three hospitals with a high standard of care in central Europe. In these already published studies, we compared conventional patient monitoring with two newly developed situation awareness–oriented monitoring technologies called Visual Patient and Visual Clot. The participants were resident and staff anesthesia and intensive care physicians, and nurse anesthetists with completed specialization qualification. We analyzed the raw NASA-TLX scores by fitting mixed linear regression models and univariate models with different covariates. Results We assessed a total of 1160 raw NASA-TLX questionnaires after performing specific patient monitoring tasks. Good test performance and higher self-rated diagnostic confidence correlated significantly with lower raw NASA-TLX scores and the subscores (all P<.001). Staff physicians rated significantly lower workload scores than residents (P=.001), whereas nurse anesthetists did not show any difference in the same comparison (P=.83). Standardized distraction resulted in higher rated total raw NASA-TLX scores (P<.001) and subscores. There was no gender difference regarding perceived workload (P=.26). The new visualization technologies Visual Patient and Visual Clot resulted in significantly lower total raw NASA-TLX scores and all subscores, including high self-rated performance, when compared with conventional monitoring (all P<.001). Conclusions This study validated a modified raw NASA-TLX questionnaire for patient monitoring tasks. The scores obtained correctly represented the assumed influences of the examined covariates on the perceived workload. We reported high criterion validity. The NASA-TLX questionnaire appears to be a reliable tool for measuring subjective workload. Further research should focus on its applicability in a clinical setting.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Validation of the Raw National Aeronautics and Space Administration Task Load Index (NASA-TLX) Questionnaire to Assess Perceived Workload in Patient Monitoring Tasks: Pooled Analysis Study Using Mixed Models

Said¹,

Gozdzik²,

Roche³

et al. 2020

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…For example, Walton et al [14] developed a valuable framework that can be used as a guide for the development of a patient safety and quality curricula. Goldman and Wong [15] identified specific learning objectives for quality improvement and patient safety (QIPS) students, including how do healthcare organizations develop QIPS priorities; quality measurement techniques; how to build an accountable team; barriers to improvement of work; and conceptualization of ''hard'' and ''soft'' skills in QIPS. These sources, as well as the WHO guide, can inform the development of curriculum for university students.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Knowledge About Patient Safety Concepts Among Medical and Pharmacy Students

Abumostafa

Mostafa

Alkattan

et al. 2021

Global Journal on Quality and Safety in Healthcare

View full text Add to dashboard Cite

Introduction Patient safety is a central principle of healthcare professional practice that requires a significant consideration within the teaching curricula; however, there is a lack of special courses that focus on patient safety concepts in an integrated way in many countries. This study aims to assess the knowledge of medical and pharmacy students regarding patient safety concepts. Methods A cross-sectional study was conducted at Alfaisal University during the 2018-2019 school year. A survey consisting of 15 questions was designed with the help of the quality and patient safety department at King Faisal Specialist Hospital and Research Centre, Riyadh (KFSHRC). The survey was validated and then electronically distributed to all students enrolled in the College of Medicine and College of Pharmacy. Results A total of 304 (22%) of 1368 students completed the survey. The survey revealed that 51% of students had an acceptable understanding of the types of human error; however, 53% of students had little knowledge about the factors that lead to these errors and 61% did not know how to report an error. Many students (41%) reported being directly involved in an unsafe situation that may cause patient harm, such as a healthcare-related error, adverse event, or inconsistent care. Most students (90%) agreed that hiding errors to avoid further implications is unethical and reporting errors is the responsibility of every healthcare provider. Conclusion Most Alfaisal University students understand the significance of patient safety education and understand the types of human errors, yet the causes of errors and the protocols for reporting them were not well understood by most students.

show abstract

“…Previous studies provided evidence that training in critical incident management improves both confidence and decision‐making ability [28]. More professional experience allows grouping signs and symptoms into patterns through acquired knowledge and skills [29]. This results in subconscious decisions and learned automatic behaviours that ultimately lead to efficient evaluation and management of crises [30, 31].…”

Section: Discussionmentioning

confidence: 99%

The Haemostasis Traffic Light, a user‐centred coagulation management tool for acute bleeding situations: a simulation‐based randomised dual‐centre trial

et al. 2020

View full text Add to dashboard Cite

The Haemostasis Traffic Light is a cognitive aid with a user-centred design to enhance and simplify situation awareness and decision-making during peri-operative bleeding. Its structure helps to prioritise therapeutic interventions according to the pathophysiology and the severity of the bleeding. This investigator-initiated, randomised, prospective, international, dual-centre study aimed to validate the Haemostasis Traffic Light by adapting it to the local coagulation protocols of two university hospitals. Between 9 January and 12 May 2020, we recruited 84 participants at the University Hospital Zurich, Switzerland, and the Italian Hospital of Buenos Aires, Argentina. Each centre included 21 resident and 21 staff anaesthetists. Participants were randomly allocated to either the text-based algorithm or the Haemostasis Traffic Light. All participants managed six bleeding scenarios using the same algorithm. In simulated bleeding scenarios, the design of the Haemostasis Traffic Light algorithm enabled more correctly solved cases, OR (95%CI) 7.23 (3.82-13.68), p < 0.001, and faster therapeutic decisions, HR (95%CI) 1.97 (1.18-3.29, p = 0.010). In addition, the tool improved therapeutic confidence, OR (95%CI) 4. 31 (1.67-11.11, p = 0.003), and reduced perceived work-load coefficient (95%CI) À6.1 (À10.98 to À1.22), p = 0.020). This study provides empirical evidence for the importance of user-centred design in the development of haemostatic management protocols.

show abstract

Nothing soft about ‘soft skills’: core competencies in quality improvement and patient safety education and practice

Cited by 28 publications

References 23 publications

Validation of the Raw National Aeronautics and Space Administration Task Load Index (NASA-TLX) Questionnaire to Assess Perceived Workload in Patient Monitoring Tasks: Pooled Analysis Study Using Mixed Models

Validation of the Raw National Aeronautics and Space Administration Task Load Index (NASA-TLX) Questionnaire to Assess Perceived Workload in Patient Monitoring Tasks: Pooled Analysis Study Using Mixed Models

Assessment of Knowledge About Patient Safety Concepts Among Medical and Pharmacy Students

The Haemostasis Traffic Light, a user‐centred coagulation management tool for acute bleeding situations: a simulation‐based randomised dual‐centre trial

Contact Info

Product

Resources

About