The Case for Building Physician Engagement and Competencies in Quality & Safety… and How to Do It.

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Quality Management in Health Care Pub Date : 2026-07-14 DOI:10.1097/QMH.0000000000000572

Sarah Tosoni, Tariq Esmail, Jon Mong, Kathleen A Sheehan, Peter E Wu, Lucas B Chartier

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引用次数: 0

Abstract

Background and objectives: Despite widespread benefits of physicians engaging in organizational quality & safety (Q&S) activities, such engagement often remains infrequent, informal, and inconsistent. This work aimed to design and implement uniquely-tailored and concurrent interventions to increase the size and Q&S competency levels of UHN's Physician Council on Q&S over a 2-year period.

Methods: Ten Q&S competency dimensions were tracked as outcome measures: Q&S science & methods, engaging stakeholders for success, aligning local projects with organizational priorities, building local Q&S infrastructure, navigating organizational Q&S processes, obtaining funding for Q&S, scholarly approach to Q&S, academic promotion through Q&S, career development through Q&S, and teaching Q&S. Competency levels were reported on a 4-point scale (ie, novice, competent, proficient, and expert). Process measures centered around change concepts and included the number of attendees at Q&S events, the number of mentorship pairings, the number of QI projects awarded grant funding, and the number of visits to our Q&S intranet site.

Results: Baseline results (n = 32) revealed participants were predominantly in the novice/competent categories for all dimensions. Competency levels were retested in 2023 (n = 41) and chi-square analyses revealed improvements in the expected direction on all dimensions. Statistically significant increases were observed for navigating UHN processes (P < .01) and building organizational Q&S infrastructure (P < .05). The Council grew over 5-fold in size from its 13 original members to 75 members with representation from all of our organization's programs, departments, and divisions.

Conclusions: Results indicate that this approach to Educate and Connect (eg, rounds and summit), Promote and Support (eg, grants and awards), and provide Customized Resources (eg, playbook and intranet) was effective in growing a robust and competent physician Q&S community of practice.

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在质量和安全方面建立医生参与和能力的案例……以及如何做到这一点。

背景和目的：尽管医生参与组织质量与安全（Q&S）活动有广泛的好处，但这种参与通常仍然不频繁、非正式和不一致。这项工作旨在设计和实施独特的定制和同步干预措施，以增加UHN医生委员会在Q&S方面的规模和Q&S能力水平。方法：十个Q&S能力维度被跟踪作为结果度量：Q&S科学和方法，为成功吸引利益相关者，将本地项目与组织优先级结合起来，建立本地Q&S基础设施，引导组织Q&S过程，为Q&S获得资金，通过Q&S的学术方法，通过Q&S进行学术推广，通过Q&S进行职业发展，以及教授Q&S。能力水平以4分制报告（即新手、胜任、熟练和专家）。过程度量以变更概念为中心，并包括Q&S事件的参与者数量、指导配对的数量、获得资助的QI项目的数量，以及访问我们的Q&S内部网站点的次数。结果：基线结果（n = 32）显示参与者主要在新手/胜任类别的所有维度。在2023年重新测试了能力水平（n = 41），卡方分析显示，所有维度的预期方向都有所改善。在导航UHN流程（P < 0.01）和构建组织Q&S基础设施（P < 0.05）方面观察到统计学上显著的增加。理事会的规模增长了5倍多，从最初的13名成员增加到75名成员，代表了我们组织的所有项目、部门和部门。结论：结果表明，这种教育和联系（如查房和峰会）、促进和支持（如拨款和奖励）以及提供定制资源（如剧本和内部网）的方法在建立一个强大而有能力的医生问答实践社区方面是有效的。

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

Quality Management in Health Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

1.90

自引率

8.30%

发文量

108

期刊介绍： Quality Management in Health Care (QMHC) is a peer-reviewed journal that provides a forum for our readers to explore the theoretical, technical, and strategic elements of health care quality management. The journal''s primary focus is on organizational structure and processes as these affect the quality of care and patient outcomes. In particular, it: -Builds knowledge about the application of statistical tools, control charts, benchmarking, and other devices used in the ongoing monitoring and evaluation of care and of patient outcomes; -Encourages research in and evaluation of the results of various organizational strategies designed to bring about quantifiable improvements in patient outcomes; -Fosters the application of quality management science to patient care processes and clinical decision-making; -Fosters cooperation and communication among health care providers, payers and regulators in their efforts to improve the quality of patient outcomes; -Explores links among the various clinical, technical, administrative, and managerial disciplines involved in patient care, as well as the role and responsibilities of organizational governance in ongoing quality management.