دورية أكاديمية
Evaluating Shifts in Perception After a Pilot Trauma Quality Improvement Training Course in Cameroon.
| العنوان: | Evaluating Shifts in Perception After a Pilot Trauma Quality Improvement Training Course in Cameroon. |
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| المؤلفون: | Nguyen NT; David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California; Program for the Advancement of Surgical Equity, Department of Surgery, University of California Los Angeles, Los Angeles, California., Ding K; David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California; Program for the Advancement of Surgical Equity, Department of Surgery, University of California Los Angeles, Los Angeles, California., Oke R; Program for the Advancement of Surgical Equity, Department of Surgery, University of California Los Angeles, Los Angeles, California., Tanjong MS; Program for the Advancement of Surgical Equity, Department of Surgery, University of California Los Angeles, Los Angeles, California., Mbuh L; Program for the Advancement of Surgical Equity, Department of Surgery, University of California Los Angeles, Los Angeles, California., Mbianyor MA; Program for the Advancement of Surgical Equity, Department of Surgery, University of California Los Angeles, Los Angeles, California., Carvalho M; Program for the Advancement of Surgical Equity, Department of Surgery, University of California Los Angeles, Los Angeles, California., Dissak Delon FN; Littoral Regional Delegation, Ministry of Public Health, Douala, Cameroon., Boeck M; Department of Surgery, University of California San Francisco, San Francisco, California., Collins C; Department of Surgery, University of California San Francisco, San Francisco, California., Yenshu EV; Faculty of Health Sciences, Department of Surgery, University of Buea, Buea, Cameroon., Etoundi GA; Department of Disease Control, Ministry of Public Health, Yaounde, Cameroon., Juillard C; David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California; Program for the Advancement of Surgical Equity, Department of Surgery, University of California Los Angeles, Los Angeles, California. Electronic address: CJuillard@mednet.ucla.edu., Mefire AC; Faculty of Health Sciences, Department of Surgery, University of Buea, Buea, Cameroon. |
| المصدر: | The Journal of surgical research [J Surg Res] 2022 Aug; Vol. 276, pp. 151-159. Date of Electronic Publication: 2022 Mar 25. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Academic Press Country of Publication: United States NLM ID: 0376340 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1095-8673 (Electronic) Linking ISSN: 00224804 NLM ISO Abbreviation: J Surg Res Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York, NY : Academic Press Original Publication: Philadelphia [etc.] |
| مواضيع طبية MeSH: | Leadership* , Quality Improvement*, Cameroon ; Humans ; Perception ; Reproducibility of Results |
| مستخلص: | Introduction: Trauma is a major contributor to the global burden of disease, with low- and middle-income countries (LMICs) being disproportionately affected. Trauma Quality Improvement (QI) initiatives could potentially save an estimated two million lives each year. Successful trauma QI initiatives rely on adequate training and a culture of quality among hospital staff. This study evaluated the effect of a pilot trauma QI training course on participants' perceptions on leadership, medical errors, and the QI process in Cameroon. Methods: Study participants took part in a three-day, eight-module course training on trauma QI methods and applications. Perceptions on leadership, medical errors, and QI were assessed pre and post-course using a 15-item survey measured on a five-point Likert scale. Median pre- and post-course scores were compared using the Wilcoxon signed-rank test. Knowledge retention and course satisfaction were also evaluated in a post-course survey and evaluation. Results: A majority of the 25 course participants completed pre-course (92%) and post-course (80%) surveys. Participants' perceptions of safety and comfort discussing medical errors at work significantly increased post-course (pre-median = 5, IQR [4-5]; post-median = 5, IQR [5-5]; P = 0.046). The belief that individuals responsible for medical error should be held accountable significantly decreased after the course (pre-median = 3, IQR [2-4]; post-median = 1, IQR [1-2]; P < 0.001). Overall satisfaction with the course was high with median scores ≥4. Conclusions: These initial results suggest that targeted trauma QI training effectively influences attitudes about QI. Further investigation of the effect of the trauma QI training on hospital staff in larger courses is warranted to assess reproducibility of these findings. (Copyright © 2022 The Author(s). Published by Elsevier Inc. All rights reserved.) |
| معلومات مُعتمدة: | R21 TW010453 United States TW FIC NIH HHS |
| فهرسة مساهمة: | Keywords: Cameroon; Low-and middle-income countries; QI training course; Quality improvement; Trauma |
| تواريخ الأحداث: | Date Created: 20220328 Date Completed: 20220525 Latest Revision: 20220601 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.jss.2022.02.019 |
| PMID: | 35344741 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1095-8673 |
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| DOI: | 10.1016/j.jss.2022.02.019 |