Peter Thurley
Development and evaluation of a brief educational cartoon on trainee clinicians’ awareness of risks of ionising-radiation exposure: a feasibility pre-post intervention study of a novel educational tool to promote patient safety
Thurley, Peter; Bowker, Richard; Bhatti, Imran; Skelly, Rob; Law, Russ; Salaman, Rachel; Young, Ben; Fogarty, Andrew
Authors
Richard Bowker
Imran Bhatti
Rob Skelly
Russ Law
Rachel Salaman
Ben Young
ANDREW FOGARTY ANDREW.FOGARTY@NOTTINGHAM.AC.UK
Clinical Associate Professor & Reader in Clinical Epidemiology
Abstract
Background Over recent decades, CT scans have become routinely available and are used in both acute medical and outpatient environments. However, there is a small increase in the risk of adverse consequences, including an increase in the risk of both malignancy and cataracts. Clinicians are often unaware of these facts, and this represents a challenge for medical educators in England, where almost 5 million CT scans are done annually. New whiteboard methodologies permit development of innovative educational tools that are efficient and scalable in communicating simple educational messages that promote patient safety. Methods A short educational whiteboard cartoon was developed to explore the prior observation that adolescents under the care of paediatricians had a much lower risk of receiving a CT scan than those under the care of clinicians who care for adults. This explored the risks after receiving a CT scan and strategies that can be used to avoid them. The educational cartoon was piloted on new doctors who were attending induction training at a busy teaching hospital. Results The main output was the educational whiteboard cartoon itself. Before the new medical trainees' induction, 56% (25/45) had received no formal training in radiation awareness, and this decreased to 26% (6/23) after the exposure to the educational cartoon (p=0.02). At baseline, 60% (27/45) of respondents considered that young females were at highest risk from exposure to ionising radiation, and this increased to 87% (20/23) after exposure to the educational cartoon (p=0.06). Conclusions This proof-of-concept feasibility study demonstrates that whiteboard cartoons provide a novel and feasible approach to efficiently promote patient safety issues, where a short succinct message is often appropriate.
Citation
Thurley, P., Bowker, R., Bhatti, I., Skelly, R., Law, R., Salaman, R., …Fogarty, A. (2020). Development and evaluation of a brief educational cartoon on trainee clinicians’ awareness of risks of ionising-radiation exposure: a feasibility pre-post intervention study of a novel educational tool to promote patient safety. BMJ Open Quality, 9(4), Article e000900. https://doi.org/10.1136/bmjoq-2019-000900
Journal Article Type | Article |
---|---|
Acceptance Date | Nov 6, 2020 |
Online Publication Date | Nov 27, 2020 |
Publication Date | Nov 27, 2020 |
Deposit Date | Nov 27, 2020 |
Publicly Available Date | Nov 27, 2020 |
Journal | BMJ Open Quality |
Print ISSN | 2399-6641 |
Electronic ISSN | 2399-6641 |
Publisher | BMJ Publishing Group |
Peer Reviewed | Peer Reviewed |
Volume | 9 |
Issue | 4 |
Article Number | e000900 |
DOI | https://doi.org/10.1136/bmjoq-2019-000900 |
Keywords | medical education; radiation; patient safety; cartoon; whiteboard |
Public URL | https://nottingham-repository.worktribe.com/output/5072855 |
Publisher URL | https://bmjopenquality.bmj.com/content/9/4/e000900 |
Files
e000900.full
(592 Kb)
PDF
Publisher Licence URL
https://creativecommons.org/licenses/by-nc/4.0/
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