ABSTRACT
Objective
To describe factors associated with Quality improvement and patient safety (QIPS)
participation using 2018 American Urological Association Census data. QIPS have become
increasingly important in medicine. However, studies about QIPS in urology suggest
low levels of participation, with little known about factors predicting non-participation.
Methods
Results from 2339 census respondents were weighted to estimate 12,660 practicing urologists
in the United States. Our primary outcome was participation in QIPS. Predictor variables
included demographics, practice setting, rurality, fellowship training, QIPS domains
in practice, years in practice, and non-clinical/clinical workload.
Results
QIPS participants and non-participants significantly differed in distributions of
age (P = .0299), gender (P = .0013), practice setting (P <.0001), employment (employee vs partner vs owner vs combination; P <.0001), and fellowship training (P <.0001). QIPS participants reported fewer years in practice (21.3 vs 25.9, P = .018) and higher clinical (45.2 vs 39.2, P = .022) and non-clinical (8.76 vs 5.28, P = .002) work hours per week. Non-participation was associated with male gender (OR = 2.68,
95% CI 1.03-6.95) and Asian race (OR = 2.59, 95% CI 1.27-5.29) for quality programs
and private practice settings (ORs = 8.72-27.8) for patient safety initiatives.
Conclusion
QIPS was associated with academic settings. Interventions to increase rates of quality
and safety participation should target individual and system-level factors, respectively.
Future work should discern barriers to QIPS engagement and its clinical benefits.
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Article info
Publication history
Published online: July 28, 2021
Accepted:
July 18,
2021
Received:
March 28,
2021
Footnotes
Financial Disclosure: The authors declare that they have no relevant financial interests.
Identification
Copyright
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