Information and communication technology is playing a major role in ensuring continuity of healthcare services during the COVID-19 pandemic. The pandemic has also disrupted healthcare quality improvement (QI) training and education for healthcare professionals and there is a need to rethink the way QI training and education is delivered. The purpose of this rapid evidence review is to quickly but comprehensively collate studies to identify what works and what does not in delivering QI training and education using distance-learning modalities. Three healthcare databases were searched along with grey literature sources for studies published between 2015 and 2020. Studies with QI training programmes or courses targeting healthcare professionals and students with at least one component of the programme being delivered online were included. A total of nineteen studies were included in the review. Most studies had a mixed methods design and used blended learning methods, combining online and in-person delivery modes. Most of the included studies reported achieving desired outcomes, including improved QI knowledge, skills and attitudes of participants and improved clinical outcomes for patients. Some benefits of online QI training delivery include fewer required resources, reducing the need for on-site instructors, increased programme reach, and more control and flexibility over learning time for participants. Some limitations of online delivery modes include limited learning and networking opportunities, functional and technical problems and long lead time for content adaptation and customization. The review highlights that distance learning approaches to QI help in overcoming barriers to traditional QI training. Virtual training environment holds great potential in delivering standardised training and distance collaborations which will be of utmost importance in the post-COVID environment. The review offers guidance on important questions to be considered in delivering QI programmes through distance learning modes.
Virtual adaptation of healthcare quality improvement training programmes in response to COVID-19: A rapid narrative review