Literature DB >> 27442714

A Multidisciplinary Self-Directed Learning Module Improves Knowledge of a Quality Improvement Instrument: The HEART Pathway.

Nicholas D Hartman, Erin N Harper, Lauren M Leppert, Brittany M Browning, Kim Askew, David E Manthey, Simon A Mahler.   

Abstract

We created and tested an educational intervention to support implementation of an institution wide QI project (the HEART Pathway) designed to improve care for patients with acute chest pain. Although online learning modules have been shown effective in imparting knowledge regarding QI projects, it is unknown whether these modules are effective across specialties and healthcare professions. Participants, including nurses, advanced practice clinicians, house staff and attending physicians (N = 486), were enrolled into an online, self-directed learning course exploring the key concepts of the HEART Pathway. The module was completed by 97% of enrollees (469/486) and 90% passed on the first attempt (422/469). Out of 469 learners, 323 completed the pretest, learning module and posttest in the correct order. Mean test scores across learners improved significantly from 74% to 89% from the pretest to the posttest. Following the intervention, the HEART Pathway was used for 88% of patients presenting to our institution with acute chest pain. Our data demonstrate that this online, self-directed learning module can improve knowledge of the HEART Pathway across specialties-paving the way for more efficient and informed care for acute chest pain patients.

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Year:  2018        PMID: 27442714      PMCID: PMC5250587          DOI: 10.1097/JHQ.0000000000000044

Source DB:  PubMed          Journal:  J Healthc Qual        ISSN: 1062-2551            Impact factor:   1.095


  17 in total

1.  The HEART score for the assessment of patients with chest pain in the emergency department: a multinational validation study.

Authors:  A Jacob Six; Louise Cullen; Barbra E Backus; Jaimi Greenslade; William Parsonage; Sally Aldous; Pieter A Doevendans; Martin Than
Journal:  Crit Pathw Cardiol       Date:  2013-09

2.  Aligning academic continuing medical education with quality improvement: a model for the 21st century.

Authors:  Nancy L Davis; David A Davis; Nathan M Johnson; Katherine L Grichnik; Linda A Headrick; Susan K Pingleton; Elizabeth Bower; Ronald Gibbs
Journal:  Acad Med       Date:  2013-10       Impact factor: 6.893

3.  Emergency department care in the United States: a profile of national data sources.

Authors:  Pamela L Owens; Marguerite L Barrett; Teresa B Gibson; Roxanne M Andrews; Robin M Weinick; Ryan L Mutter
Journal:  Ann Emerg Med       Date:  2010-01-15       Impact factor: 5.721

4.  A prospective validation of the HEART score for chest pain patients at the emergency department.

Authors:  B E Backus; A J Six; J C Kelder; M A R Bosschaert; E G Mast; A Mosterd; R F Veldkamp; A J Wardeh; R Tio; R Braam; S H J Monnink; R van Tooren; T P Mast; F van den Akker; M J M Cramer; J M Poldervaart; A W Hoes; P A Doevendans
Journal:  Int J Cardiol       Date:  2013-03-07       Impact factor: 4.164

5.  Can the HEART score safely reduce stress testing and cardiac imaging in patients at low risk for major adverse cardiac events?

Authors:  Simon A Mahler; Brian C Hiestand; David C Goff; James W Hoekstra; Chadwick D Miller
Journal:  Crit Pathw Cardiol       Date:  2011-09

6.  The HEART Pathway randomized trial: identifying emergency department patients with acute chest pain for early discharge.

Authors:  Simon A Mahler; Robert F Riley; Brian C Hiestand; Gregory B Russell; James W Hoekstra; Cedric W Lefebvre; Bret A Nicks; David M Cline; Kim L Askew; Stephanie B Elliott; David M Herrington; Gregory L Burke; Chadwick D Miller
Journal:  Circ Cardiovasc Qual Outcomes       Date:  2015-03-03

7.  Improving Depression Care Through an Online Learning Collaborative.

Authors:  Melissa Starkey; Dawn Wiest; Amir Qaseem
Journal:  Am J Med Qual       Date:  2014-10-28       Impact factor: 1.852

Review 8.  Critical pathways for patients with acute chest pain at low risk.

Authors:  Kirsten E Fleischmann; Lee Goldman; Paula A Johnson; Richard A Krasuski; J Stephen Bohan; L Howard Hartley; Thomas H Lee
Journal:  J Thromb Thrombolysis       Date:  2002-04       Impact factor: 2.300

9.  The long-term impact of a performance improvement continuing medical education intervention on osteoporosis screening.

Authors:  Lara Zisblatt; John R Kues; Nancy Davis; Charles E Willis
Journal:  J Contin Educ Health Prof       Date:  2013       Impact factor: 1.355

10.  Impact of performance improvement continuing medical education on cardiometabolic risk factor control: the COSEHC initiative.

Authors:  JaNae Joyner; Michael A Moore; Debra R Simmons; Brian Forrest; Kristina Yu-Isenberg; Ron Piccione; Kirt Caton; Daniel T Lackland; Carlos M Ferrario
Journal:  J Contin Educ Health Prof       Date:  2014       Impact factor: 1.355

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  2 in total

1.  3 for the Price of 1: Teaching Chest Pain Risk Stratification in a Multidisciplinary, Problem-based Learning Workshop.

Authors:  William D Alley; Cynthia Burns; Nicholas D Hartman; Kim Askew; Simon A Mahler
Journal:  West J Emerg Med       Date:  2018-03-08

2.  Point-of-Care Diagnosis of Acute Myocardial Infarction in Central Vietnam: International Exchange, Needs Assessment, and Spatial Care Paths.

Authors:  Gerald J Kost; Amanullah Zadran; Thuan T B Duong; Tung T Pham; An V D Ho; Nhan V Nguyen; Irene J Ventura; Layma Zadran; Mykhaylo V Sayenko; Kelly Nguyen
Journal:  Point Care       Date:  2018-08-27
  2 in total

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