Evaluating the impact of junior doctors in quality improvement - a 10-year review.

IF 1.4 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Charlotte Anne O'Leary, Laura Piu, George Braitberg
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引用次数: 0

Abstract

Objectives The importance of engaging junior doctors in quality improvement (QI) initiatives is well recognised. Junior doctors bring fresh perspectives and engage closely with patients, consumers, families and the healthcare team. They are well positioned to recognise inefficiencies in the system that may compromise safe, timely and effective care. To promote QI participation by our junior doctors our organisation created a specific role; the Improvement House Medical Officer (IHMO). The objective of this study is to describe and evaluate the IHMO rotation at the Royal Melbourne Hospital, a large tertiary hospital in Australia. Methods A mixed-methods study was performed that involved a survey of previous IHMOs since 2011, including a review of the major QI projects undertaken by IHMOs. Results Twenty-seven out of 40 IHMOs completed the survey. Doctors were attracted to the rotation to make an impact on the working conditions of junior doctors (selected by 20 respondents, 74%) and improve the quality of health care experienced by patients (18, 67%). Most respondents strongly agreed or agreed (22, 82%) that they used the skills gained in the rotation in their ongoing work. More than 40 QI projects have been led or co-led by IHMOs since 2011. Challenges of the role included the short timeframe of the rotation and the perceived slow pace of institutional change. Respondents found engaging other junior doctors with QI and understanding the hospital's organisational structure to be barriers. Conclusions The full engagement of junior doctors in QI upholds a healthcare culture that celebrates innovation and promotes patient safety. The IHMO rotation offers an immersive, experiential and impactful way to do so.

评估初级医生在质量改进方面的影响——一项10年回顾。
让初级医生参与质量改进(QI)计划的重要性是公认的。初级医生带来新鲜的视角,并与患者、消费者、家庭和医疗团队密切接触。他们能够很好地认识到医疗系统中的低效率,这可能会危及安全、及时和有效的护理。为了促进初级医生参与健康护理,我们设立了一个特别的角色;改进之家医务干事。本研究的目的是描述和评估IHMO轮换在皇家墨尔本医院,一个大型三级医院在澳大利亚。方法采用混合方法对2011年以来的卫生保健机构进行调查,包括对卫生保健机构开展的主要质量评价项目进行回顾。结果40家ihmo中有27家完成了调查。医生被轮转所吸引,是为了对初级医生的工作条件产生影响(20名受访者选择,占74%),并提高患者体验到的医疗质量(18名受访者选择,占67%)。大多数受访者强烈同意或同意(22.82%)他们在正在进行的工作中使用轮岗中获得的技能。自2011年以来,ihmo领导或联合领导了40多个QI项目。这一角色面临的挑战包括轮调的时限短,以及人们认为体制改革的步伐缓慢。受访者发现,让其他初级医生参与QI和了解医院的组织结构是障碍。结论初级医生全面参与QI维护了一种崇尚创新和促进患者安全的医疗文化。IHMO轮岗提供了一种身临其境、体验式和有影响力的方式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Australian Health Review
Australian Health Review 医学-卫生保健
CiteScore
2.90
自引率
5.60%
发文量
134
审稿时长
6-12 weeks
期刊介绍: Australian Health Review is an international, peer-reviewed journal that publishes contributions on all aspects of health policy, management and governance; healthcare delivery systems; workforce; health financing; and other matters of interest to those working in health care. In addition to analyses and commentary, the journal publishes original research from practitioners – managers and clinicians – and reports of breakthrough projects that demonstrate better ways of delivering care. Australian Health Review explores major national and international health issues and questions, enabling health professionals to keep their fingers on the pulse of the nation’s health decisions and to know what the most influential commentators and decision makers are thinking. Australian Health Review is a valuable resource for managers, policy makers and clinical staff in health organisations, including government departments, hospitals, community centres and aged-care facilities, as well as anyone with an interest in the health industry. Australian Health Review is published by CSIRO Publishing on behalf of the Australian Healthcare and Hospitals Association.
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