Evaluating Shifts in Perception After a Pilot Trauma Quality Improvement Training Course in Cameroon

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 adequa...

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Bibliographic Details
Published in:	The Journal of surgical research Vol. 276; pp. 151 - 159
Main Authors:	Nguyen, Nicole T., Ding, Kevin, Oke, Rasheedat, Tanjong, Mary-Magdalene S., Mbuh, Lidwine, Mbianyor, Mbiarikai A., Carvalho, Melissa, Dissak Delon, Fanny Nadia, Boeck, Marissa, Collins, Caitlin, Yenshu, Emmanuel V., Etoundi, George Alain, Juillard, Catherine, Mefire, Alain Chichom
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-08-2022
Subjects:	Cameroon Humans Leadership Low-and middle-income countries Perception QI training course Quality Improvement Reproducibility of Results Trauma Cameroon Low-and middle-income countries Cameroon Quality improvement Trauma QI training course
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Summary:	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. 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. 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. 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. •Targeted QI training can improve perceptions about handling medical errors and effectively influences attitudes about QI.•The QI course can be a valuable tool to provide training for hospital staff to improve trauma care through a systems lens.•There is opportunity for trauma QI capacity building in Cameroon.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0022-4804 1095-8673
DOI:	10.1016/j.jss.2022.02.019