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Published on: February 16, 2011
Exploring quality and patient safety competencies and competency frameworks: a scoping review
Dimuthu Rathnayake1, Sahar Hammoud1, Veronica Hanlon2
1UCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems, School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin 4, D04 V1W8, Ireland.
Summary
This review identifies key quality and patient safety (QPS) competencies and frameworks for healthcare staff training. It highlights common topic areas but notes a lack of research on effective implementation strategies.
Area of Science:
- Healthcare Quality and Safety
- Medical Education
- Workforce Development
Background:
- Quality and Patient Safety (QPS) is a global priority, facing risks like patient harm and resource waste.
- Effective training in QPS competencies is crucial for healthcare workforce performance and preparedness.
- Existing QPS competency frameworks lack consensus and evidence on effectiveness, necessitating a comprehensive review.
Purpose of the Study:
- To systematically review and synthesize evidence on Quality and Patient Safety (QPS) competencies and frameworks.
- To explore the current landscape of QPS competencies and frameworks in healthcare.
- To identify how these competencies and frameworks are designed, developed, implemented, and evaluated.
Main Methods:
- Searched multiple databases (PubMed, CINAHL, Web of Science, PsycINFO, Cochrane Library) and grey literature from Jan 2010 to April 2023.
- Included all studies describing QPS competencies and/or frameworks.
- Employed a narrative synthesis approach due to the varied study types.
Main Results:
- 118 studies were relevant, with 36 outlining specific QPS competency frameworks.
- Identified 37 QPS topic areas and numerous competency statements (skills, knowledge, behaviors).
- Frequent topic areas included communication, safety culture, teamwork, risk management, and patient-centered care.
Conclusions:
- Key QPS competency areas essential for healthcare workforce development have been identified.
- A significant gap exists in research regarding the effective implementation and integration of QPS frameworks into practice.
- Insufficient evidence currently supports the real-world application of identified QPS competencies.
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