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Am J Med Qual. 2019 Mar/Apr;34(2):189-199. doi: 10.1177/1062860618791305. Epub 2018 Aug 6.

Can Medical Students Lead Effective Quality Improvement Initiatives? A Systematic Review.

Author information

1
1 North Middlesex University Hospital, London, UK.
2
2 University College London, UK.
3
3 Imperial College London, UK.
4
4 Kingston Hospital, Kingston Upon Thames, UK.
5
5 Exeter Medical School, UK.
6
6 Prince of Wales Hospital, Bridgend, Wales, UK.
7
7 University College London Hospitals, UK.
8
8 Bart's and the London School of Medicine and Dentistry, London, UK.

Abstract

Quality improvement project (QUIP) concepts are becoming embedded into medical school curricula, with many students now expected to conduct a QUIP as part of their progression. This study aimed to assess whether student-led QUIPs can be effective and sustainable. A systematic literature search was conducted using 5 databases: MEDLINE, Embase, Ovid, CINAHL, and PsycINFO. The authors searched for articles published between January 28, 1978, and January 28, 2018. In all, 3965 articles were identified through database searching, and an additional 9 articles through hand searches. After screening and full-text analysis, 12 articles were included. Greater than 50% of QUIPs described a statistically significant improvement in the primary outcome. However, effective student-led QUIPs were not necessarily sustainable, with a mean final audit at 4.4 months. Medical students have the potential to produce effective QUIPs. There now needs to be a structured approach to give medical students the freedom to test and validate more unique interventions.

KEYWORDS:

medical student; quality improvement; student; sustainability

PMID:
30078350
DOI:
10.1177/1062860618791305

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