| Title: |
PSAzing up patient care: a quality improvement project for informed cancer screening |
| Authors: |
Shea-Lee Godin; Kristin Ezell; Angela Stein |
| Source: |
BMJ Open Quality, Vol 14, Iss 4 (2025) |
| Publisher Information: |
BMJ Publishing Group, 2025. |
| Publication Year: |
2025 |
| Collection: |
LCC:Medicine (General) |
| Subject Terms: |
Medicine (General); R5-920 |
| Description: |
Introduction Prostate cancer is a leading cause of cancer-related deaths among men in the USA. Prostate-specific antigen (PSA) testing for screening remains controversial, with shared decision-making (SDM) recommended by professional guidelines to discuss screening’s risks, benefits and uncertainties. Despite these recommendations, SDM is underused, with only 10% of men receiving comprehensive SDM. This quality improvement project aimed to improve SDM documentation and the implementation of PSA screening in an urban safety-net, resident-led primary care clinic.Methods We implemented a continuity clinic note template with a specific SDM ‘dot phrase’ to improve the documentation and execution of SDM conversations. Our primary aim was to increase SDM documentation for prostate cancer screening, with a secondary aim to improve follow-up on abnormal PSA values. The intervention included men aged 55–69 years. Preintervention, residents were educated on SDM and PSA screening. Postintervention, patient charts were reviewed for documentation rates and screening outcomes. Feedback was collected during dedicated sessions. Finally, comparative statistics were conducted between baseline preintervention and eligible postintervention cohorts.Results SDM documentation improved significantly from 7.1% preintervention to 37.2% postintervention (p |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2399-6641 |
| Relation: |
https://bmjopenquality.bmj.com/content/14/4/e003423.full; https://doaj.org/toc/2399-6641 |
| DOI: |
10.1136/bmjoq-2025-003423 |
| Access URL: |
https://doaj.org/article/620fb0b6d00a4b3b9f3be21ed710ce8e |
| Accession Number: |
edsdoj.620fb0b6d00a4b3b9f3be21ed710ce8e |
| Database: |
Directory of Open Access Journals |