PD38-12 QUALITY IMPROVEMENT AND PATIENT SAFETY IN UROLOGY: AN ANALYSIS OF THE 2018 AMERICAN UROLOGIC ASSOCIATION CENSUS

Abstract

You have accessJournal of UrologyHealth Services Research: Quality Improvement & Patient Safety III (PD38)1 Sep 2021PD38-12 QUALITY IMPROVEMENT AND PATIENT SAFETY IN UROLOGY: AN ANALYSIS OF THE 2018 AMERICAN UROLOGIC ASSOCIATION CENSUS Kevin D. Li, Nizar Hakam, Michael J. Sadighian, Jordan T. Holler, Behnam Nabavizadeh, Gregory Amend, and Benjamin N. Breyer Kevin D. LiKevin D. Li More articles by this author , Nizar HakamNizar Hakam More articles by this author , Michael J. SadighianMichael J. Sadighian More articles by this author , Jordan T. HollerJordan T. Holler More articles by this author , Behnam NabavizadehBehnam Nabavizadeh More articles by this author , Gregory AmendGregory Amend More articles by this author , and Benjamin N. BreyerBenjamin N. Breyer More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002048.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Quality improvement and patient safety (QIPS) have grown increasingly important in medicine. Little research has been done to quantify QIPS participation within urology and to differentiate participants from nonparticipants. We describe QIPS engagement in urology and factors related to non-participation. METHODS: We used the 2018 American Urologic Association census data to assess urology participation in various QIPS programs. QIPS participants and non-participants were compared using univariate and multivariate analyses to explore factors predictive of QIPS non-participation. RESULTS: Stratified weighted analysis was performed to represent 12,660 practicing urologists in the United States. Most urologists were Caucasian (80.1%), non-Hispanic (93.8%), males (90.8%) working in metropolitan (88.9%) private practice settings (56.9%) with a median age of 56 and 21.7 (SE 0.53) years of practice. 90.5% of urologists reported participation in QIPS initiatives. QIPS participants and non-participants significantly differed in distributions of age (p <.05), gender (p <.01), practice setting (p <.001), employment status (p <.001), and fellowship training (p <.001). Participants reported fewer years in practice (21.3 vs. 25.9, p <.05) and higher clinical (45.2 vs. 39.2, p <.05) and non-clinical hours (8.76 vs. 5.28, p <0.01) working per week. Non-participation was predicted by male gender (OR=2.68, 95% CI 1.03-6.95) (Table 1) and Asian race (OR=2.59, 95% CI 1.27-5.29) for quality and private practice setting (ORs range from 8.72-27.8) (Table 2) for safety. Quality and safety participation were mutually predictive. CONCLUSIONS: QIPS participation 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 quantify the clinical benefits of QIPS engagement. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e667-e667 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Kevin D. Li More articles by this author Nizar Hakam More articles by this author Michael J. Sadighian More articles by this author Jordan T. Holler More articles by this author Behnam Nabavizadeh More articles by this author Gregory Amend More articles by this author Benjamin N. Breyer More articles by this author Expand All Advertisement Loading ...