Fostering a culture of prevention in a residency program through a continuous quality improvement project

Gregory W. Schneider, Mark DeHaven, Laura M. Snell

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

This project explored the effect of a multifaceted quality improvement (QI) intervention at a university-based residency program clinic on the documented provision of preventive services. The intervention, based on the Put Prevention Into Practice program and standard QI techniques, consisted of patient self-administered Health Risk Profiles (HRPs) and a monthly educational curriculum for patients, staff, and providers. Documentation of preventive services in patient charts was measured using a repeated cross-sectional sampling design before and after the 1-year intervention period. Documentation of 8 of 19 preventive services under examination increased significantly (P < .05). Measurements of the intervention, including use of the HRPs and the educational curriculum, revealed little association with the observed improvements. Although the intervention was associated with improved documentation of clinical preventive services, specific elements of the intervention were underused. The authors postulate that the QI process fostered a culture change in the clinic that affected prevention activities. Whether the increased documentation of services reflected an increase in the actual provision of services and whether this increase is clinically significant require further study.

Original languageEnglish (US)
Pages (from-to)82-89
Number of pages8
JournalAmerican Journal of Medical Quality
Volume18
Issue number2
StatePublished - Mar 2003

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Foster Home Care
Internship and Residency
Quality Improvement
Documentation
Curriculum
Health

Keywords

  • Organizational study
  • Prevention
  • Quality improvement

ASJC Scopus subject areas

  • Health Policy
  • Nursing(all)

Cite this

Fostering a culture of prevention in a residency program through a continuous quality improvement project. / Schneider, Gregory W.; DeHaven, Mark; Snell, Laura M.

In: American Journal of Medical Quality, Vol. 18, No. 2, 03.2003, p. 82-89.

Research output: Contribution to journalArticle

Schneider, Gregory W. ; DeHaven, Mark ; Snell, Laura M. / Fostering a culture of prevention in a residency program through a continuous quality improvement project. In: American Journal of Medical Quality. 2003 ; Vol. 18, No. 2. pp. 82-89.
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