Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care transitions at the University of California.

<bold>Quality Issue: </bold>Implementing quality improvement (QI) education during clinical training is challenging due to time constraints and inadequate faculty development in these areas.<bold>Initial Assessment: </bold>Quiz-based reinforcement systems show promise in fostering active engagement, collaboration, healthy competition and real-time formative feedback, although further research on their effectiveness is required.<bold>Choice Of Solution: </bold>An online quiz-based reinforcement system to increase resident and faculty knowledge in QI, patient safety and care transitions.<bold>Implementation: </bold>Experts in QI and educational assessment at the 5 University of California medical campuses developed a course comprised of 3 quizzes on Introduction to QI, Patient Safety and Care Transitions. Each quiz contained 20 questions and utilized an online educational quiz-based reinforcement system that leveraged spaced learning.<bold>Evaluation: </bold>Approximately 500 learners completed the course (completion rate 66-86%). Knowledge acquisition scores for all quizzes increased after completion: Introduction to QI (35-73%), Patient Safety (58-95%), and Care Transitions (66-90%). Learners reported that the quiz-based system was an effective teaching modality and preferred this type of education to classroom-based lectures. Suggestions for improvement included reducing frequency of presentation of questions and utilizing more questions that test learners on application of knowledge instead of knowledge acquisition.<bold>Lessons Learned: </bold>A multi-campus online quiz-based reinforcement system to train residents in QI, patient safety and care transitions was feasible, acceptable, and increased knowledge. The course may be best utilized to supplement classroom-based and experiential curricula, along with increased attention to optimizing frequency of presentation of questions and enhancing application skills. [ABSTRACT FROM AUTHOR]