Document Detail


2007 survey of medical toxicology practice improvement activities.
MedLine Citation:
PMID:  20237967     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To date, there appear to be no studies that assess Medical Toxicologists' (MTs) practice improvement (PI) activities in their Medical Toxicology practice settings. The MT Assessment of Practice Performance (APP) Taskforce queried all MT diplomates about (1) activities currently available in their practice settings that potentially would meet the requirements of APP, (2) potential APP activities that best fit with current MT practice, and (3) the relationship between MT practice patterns and APP requirements. One hundred twenty-seven surveys were completed. Participation in MT practice improvement activities is not universal, with approximately a third of the survey participants reporting that they are not involved in any practice improvement activity. Few respondents reported that they collected performance improvement-related data. Most who did so participated in CME, case, or chart reviews. Peer reviews, self-improvement plans based on chart reviews, and population research were considered the most valid measures of MT practice improvement. Communication skills were considered important topics for patient surveys. Suggested outcomes for peer assessment included accuracy of information provided, understanding medical staff concerns, timeliness of feedback, and helpfulness. Most respondents rated all of the APP options as being somewhat very intrusive. Access to those with sufficient knowledge of the diplomate's practice improvement program to verify APP could pose a challenge to a successful completion of APP requirements. Optimal settings for the APP program administration are hospitals and poison centers. While barriers to MT APP activities exist, studying current MT diplomates' opinions and practices could inform the future development and administration of such programs.
Authors:
Suzanne R White; Beth Baker; Carl R Baum; Anne Harvey; Robert Korte; A Nelson Avery; Lewis Nelson; Kevin Osterhoudt; Curtis Snook; Saralyn Williams
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of medical toxicology : official journal of the American College of Medical Toxicology     Volume:  6     ISSN:  1556-9039     ISO Abbreviation:  J Med Toxicol     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-30     Completed Date:  2010-11-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101284598     Medline TA:  J Med Toxicol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  286-93     Citation Subset:  IM    
Affiliation:
American Board of Emergency Medicine, East Lansing, MI, USA. swhite1@dmc.org
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MeSH Terms
Descriptor/Qualifier:
Certification
Clinical Competence*
Data Collection
Humans
Physician's Practice Patterns*
Time Factors
Toxicology* / education,  standards

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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