alexa Abstract | Quality assurance through reflective change (QuARC): involving family medicine community-based preceptors in a continuous quality improvement programme

Quality in Primary Care
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Research Paper Open Access

Abstract

Introduction Quality assurance through medical chart audit is often not done in family practices because the workload involved is large, time commitment long and feedback delayed. A faculty development project was undertaken to encourage practice audits by community-based family medicine preceptors addressing these barriers.Objective To stimulate involvement in and enthusiasm for practice audit through a shared learning experience.Programme Four 15-minute sessions in an academic year served as the platform for group interaction. The faculty development co-ordinator and a group member with expertise in research, serving as facilitator and mentor, formulated the project. The faculty decided on the topic and collected four data items on a convenience sample of patients over a38-week period. Data were collated and feedback was sent weekly. Participation among preceptors was 61% (16/26); data on 739 patients were collected through weekly convenience sampling and data on 1004 patients were collected from full,electronic medical records (EMR)-aided, audits. Group response was enthusiastic with reflection on the process, quality of charting and rates of mammography.Conclusion An enthusiastic mentor and a collaborating group of physicians can perform a practice audit using simple  methodology on a convenience sample of patients.

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Author(s): J Graham Swanson

Keywords

Innovative primary care, Primary care medicines, Advanced concepts in primary care

 
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