Gynaecology Research Today is a free monthly online journal that collates and summarizes the latest research about Gynaecology, including details on pap smears, laparoscopy, ultrasound, hysteroscopy. | ||||||||
|
Effect of a CD-ROM-based educational intervention on resident knowledge and adherence to deep venous thrombosis prophylaxis guidelines.Baskin C, Seetharamu N, Mazure B, Vassallo L, Steinberg H, Kerpen H, Mattana J Department of Medicine, Long Island Jewish Medical Center, North Shore–Long Island Jewish Health System, New Hyde Park, New York. BACKGROUND: CD-ROM-based educational methods are not new to residency training, yet little is known about how they affect resident knowledge and patient care practices. OBJECTIVE: We evaluated the effects of a CD-ROM-based educational tool on residents' knowledge of anticoagulation and their adherence to anticoagulation guidelines. DESIGN, SETTING AND PARTICIPANTS: Residents in the departments of cardiothoracic surgery, emergency medicine, otolaryngology, internal medicine, neurosurgery, dental medicine, neurology, obstetrics and gynecology, orthopedics, surgery, and urology at a university hospital participated in the study. INTERVENTION: Residents were provided with CD-ROM-based training on the proper use of anticoagulation based on the sixth ACCP guidelines for antithrombotic therapy. Multiple choice testing was carried out before and after the CD-ROM intervention to assess resident knowledge, and resident compliance with venous thromboembolism prophylaxis guidelines was assessed via inpatient chart review by an independent committee. MAIN OUTCOME MEASURES: Changes in knowledge were measured via test scores and the rate of compliance with anticoagulation guidelines. RESULTS: Multiple choice test scores of 117 residents increased significantly after reviewing the CD-ROM (from 46.7% +/- 15.1% to 77.8% +/- 15.1%, P < .005). As a control, we administered the same test at the same 2 times at a comparable institution but without the CD-ROM intervention and found that test scores did not significantly increase. Chart review revealed a rate of compliance with anticoagulation guidelines for prophylaxis of venous thromboembolism of 75% before the CD-ROM intervention, which increased to 95% after the intervention, an increase that was sustained for at least 7 months. CONCLUSIONS: These findings suggest that CD-ROM-based interventions might be useful not only in enhancing resident knowledge but also in improving the quality of care by favorably affecting clinical practice. Journal of Hospital Medicine 2008;3:42-47. (c) 2008 Society of Hospital Medicine. Published 7 February 2008 in J Hosp Med, 3(1): 42-47.
© 2005-2008 Gynaecology Research Today. All Rights Reserved. |
| ||||||
