Biblia S Cha, Judith Borghouts, Elizabeth Eikey, Dana B Mukamel, Stephen M Schueller, Dara H Sorkin, Nicole A Stadnick, Xin Zhao, Kai Zheng, Margaret L Schneider
Variability in the Integration of Peers in a Multi-site Digital Mental Health Innovation Project
Administration and policy in mental health
confidenceweighted testing assesses learners beliefs knowledge skills part hospitalwide quality improvement initiative enhance care pediatric patients suspected sepsis developed novel intervention using confidenceweighted testing identify institutional areas misinformation knowledge gaps also providing realtime feedback individual learners developed pediatric sepsis elearning modules incorporating confidenceweighted testing distributed nurses advanced practitioners physicians emergency departments acute carenonintensive care unit inpatient settings hospital system analyzed completion response data 2 years following module distribution outcomes included completion confidently held misinformation chm learner answers question confidently incorrectly struggle learner repeatedly answers question incorrectly low confidence mastery learner initially answers question correctly confidently eightythree percent assigned learners completed modules 14631754 although nurses significantly misinformation struggled physicians advanced practitioners learners roles achieved 100 mastery part module completion greatest chm struggle found serum lactate interpretations nuances hemodynamic shock states commonly seen sepsis novel application confidenceweighted testing enhanced learning correcting learners misinformation also identified systems issues institutional knowledge gaps targets future improvement