title: Quality Improvement Education for Health Professionals: A Systematic Review.
abstract: Effective quality improvement (QI) education should improve patient care, but many curriculum studies do not include clinical measures. The research team evaluated the prevalence of QI curricula with clinical measures and their association with several curricular features. MEDLINE, Embase, CINAHL, and ERIC were searched through December 31, 2013. Study selection and data extraction were completed by pairs of reviewers. Of 99 included studies, 11% were randomized, and 53% evaluated clinically relevant measures; 85% were from the United States. The team found that 49% targeted 2 or more health professions, 80% required a QI project, and 65% included coaching. Studies involving interprofessional learners (odds ratio [OR] = 6.55; 95% confidence interval [CI] = 2.71-15.82), QI projects (OR = 13.60; 95% CI = 2.92-63.29), or coaching (OR = 4.38; 95% CI = 1.79-10.74) were more likely to report clinical measures. A little more than half of the published QI curricula studies included clinical measures; they were more likely to include interprofessional learners, QI projects, and coaching.
authors.affiliation: Mayo Clinic, Rochester, MN starr.stephanie@mayo.edu.
authors.forename: Stephanie R
authors.initials: SR
authors.lastname: Starr
authors.affiliation: Mayo Clinic, Rochester, MN.
authors.forename: Jordan M
authors.initials: JM
authors.lastname: Kautz
authors.affiliation: Mayo Clinic, Rochester, MN.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Sorita
authors.affiliation: Mayo Clinic, Jacksonville, FL.
authors.forename: Kristine M
authors.initials: KM
authors.lastname: Thompson
authors.affiliation: Mayo Clinic, Rochester, MN.
authors.forename: Darcy A
authors.initials: DA
authors.lastname: Reed
authors.affiliation: Mayo Clinic, Rochester, MN.
authors.forename: Barbara L
authors.initials: BL
authors.lastname: Porter
authors.affiliation: Mayo Clinic, Rochester, MN.
authors.forename: David L
authors.initials: DL
authors.lastname: Mapes
authors.affiliation: Mayo Clinic, Scottsdale, AZ.
authors.forename: Catherine C
authors.initials: CC
authors.lastname: Roberts
authors.affiliation: University of Washington Internal Medicine Residency Program, Seattle, WA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Kuo
authors.affiliation: Mayo Clinic, Rochester, MN.
authors.forename: Pavithra R
authors.initials: PR
authors.lastname: Bora
authors.affiliation: Mayo Clinic, Rochester, MN.
authors.forename: Tarig A
authors.initials: TA
authors.lastname: Elraiyah
authors.affiliation: Mayo Clinic, Rochester, MN.
authors.forename: Mohammad H
authors.initials: MH
authors.lastname: Murad
authors.affiliation: New York Presbyterian Hospital and Healthcare System, The University Hospital for Columbia and Cornell, New York, NY.
authors.forename: Henry H
authors.initials: HH
authors.lastname: Ting
mesh_terms: D003479:Curriculum; D004501:Education, Medical; D006801:Humans; D058996:Quality Improvement / Q000458:organization & administration; D011787:Quality of Health Care / Q000458:organization & administration
keywords: education; health professionals; quality improvement; systematic review