Theory in quality improvement and patient safety education: A scoping review

J Goldman, A Smeraglio, L Lo, A Kuper… - Perspectives on Medical …, 2021 - Springer
J Goldman, A Smeraglio, L Lo, A Kuper, BM Wong
Perspectives on Medical Education, 2021Springer
Introduction Theory plays an important role in education programming and research.
However, its use in quality improvement and patient safety education has yet to be fully
characterized. The authors undertook a scoping review to examine the use of theory in
quality improvement and patient safety education. Methods Eligible articles used theory to
inform the design or study of a quality improvement or patient safety curriculum. The authors
followed scoping review methodology and searched articles referenced in 20 systematic …
Introduction
Theory plays an important role in education programming and research. However, its use in quality improvement and patient safety education has yet to be fully characterized. The authors undertook a scoping review to examine the use of theory in quality improvement and patient safety education.
Methods
Eligible articles used theory to inform the design or study of a quality improvement or patient safety curriculum. The authors followed scoping review methodology and searched articles referenced in 20 systematic reviews of quality improvement and patient safety education, or articles citing one of these reviews, and hand searched eligible article references. Data analysis involved descriptive and interpretive summaries of theories used and the perspectives the theories offered.
Results
Eligibility criteria were met by 28 articles, and 102 articles made superficial mention of theory. Eligible articles varied in professional group, learning stage and journal type. Theories fell into two broad categories: learning theories (n = 20) and social science theories (n = 11). Theory was used in the design (n = 12) or study (n = 17) of quality improvement and patient safety education. The range of theories shows the opportunity afforded by using more than one type of theory.
Discussion
Theory can guide decisions regarding quality improvement and patient safety education practices or play a role in selecting a methodology or lens through which to study educational processes and outcomes. Educators and researchers should make deliberate choices around the use of theory that relates to aspects of an educational program that they seek to illuminate.
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