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Area of Science:

  • Medical Education
  • Patient Safety
  • Healthcare Management

Background:

  • The Canadian Medical Protective Association (CMPA) developed the Commitment to Change in Test-Results Follow-Up (CTC-TRFU) program.
  • This program utilizes the Transtheoretical Model for a 6-month multimodal educational intervention.
  • Intervention components include coaching, action planning, and reflection surveys to improve test result follow-up systems.

Purpose of the Study:

  • To evaluate the impact of the CTC-TRFU program on physicians' test result follow-up systems.
  • To assess changes in physicians' confidence, commitment, and implemented practice changes related to patient safety.
  • To identify perceived barriers and challenges in test result follow-up.

Main Methods:

  • Analysis of survey responses and course documents from physicians enrolled in the CTC-TRFU program.
  • Focus on three primary outcomes: perceived barriers, changes in confidence/commitment, and implemented practice changes.
  • Participants were Canadian physicians registered through the CMPA, with emphasis on those facing follow-up challenges.

Main Results:

  • 33.3% of 102 enrolled physicians completed the program; 27.5% are actively enrolled.
  • 97.1% of completers believed improvements enhanced patient safety.
  • Significant increase in confidence (P < .001) and reported identification of missed test results (55.9%).

Conclusions:

  • Physicians reported meaningful practice changes and enhanced patient safety through the CTC-TRFU program.
  • The program demonstrates the value of comprehensive, longitudinal continuing professional development (CPD) in patient safety.
  • Findings suggest potential for scalability and future research into long-term impacts of similar initiatives.