Centralized Development of a Resident Patient Safety Curriculum

Location

DeVos 117E

Start Date

7-1-2011 9:45 AM

End Date

7-1-2011 10:00 AM

Description

Purpose of Presentation: The Institute of Medicine report "To Err is Human" highlighted the prevalence of patient harm from error in our hospitals. The Joint Commission has defined patient safety goals, and residencies are being asked to incorporate teaching of patient safety related knowledge, skills and attitudes into already-packed curricula using limited faculty resources. We describe a newlyimplemented, centralized Resident Patient Safety Curriculum delivered across 163 residents comprising 14 programs in the Lansing community.

Methods: Three GME-sponsoring institutions cooperatively developed a list of 21 patient-safety competencies, a sixty-question multiple-choice examination (MCE), and 4 instructional modules. The MCE and two of the modules have been delivered. Module 1 focused on basic patient safety science principles and involved a short pre/post test and participant evaluation. The second module consisted of mock root cause analyses discussed in small groups and was evaluated by participants.

Results: Pre/post knowledge assessment increased from 59% to 81 %. Likert ratings of Module 1 were 4.04-4.39/5 and of module 2 were 4.09-4.42/5. Residents preferred the small group format to lecture. On the multiple choice examination, PGY-2 residents that completed the 2 modules performed at a level equivalent to residents with an additional year of training. Scheduling of modules presented difficulties.

Conclusions: The call for improvement of patient safety-related competencies begs for cooperative, centralized efforts. as these are not specialty-specific and are suited to delivery to multiple types of learners. We created 2 well-received educational modules and increased resident patient safety knowledge. Scheduling difficulties were frustrating and continue to challenge this effort.

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Jan 7th, 9:45 AM Jan 7th, 10:00 AM

Centralized Development of a Resident Patient Safety Curriculum

DeVos 117E

Purpose of Presentation: The Institute of Medicine report "To Err is Human" highlighted the prevalence of patient harm from error in our hospitals. The Joint Commission has defined patient safety goals, and residencies are being asked to incorporate teaching of patient safety related knowledge, skills and attitudes into already-packed curricula using limited faculty resources. We describe a newlyimplemented, centralized Resident Patient Safety Curriculum delivered across 163 residents comprising 14 programs in the Lansing community.

Methods: Three GME-sponsoring institutions cooperatively developed a list of 21 patient-safety competencies, a sixty-question multiple-choice examination (MCE), and 4 instructional modules. The MCE and two of the modules have been delivered. Module 1 focused on basic patient safety science principles and involved a short pre/post test and participant evaluation. The second module consisted of mock root cause analyses discussed in small groups and was evaluated by participants.

Results: Pre/post knowledge assessment increased from 59% to 81 %. Likert ratings of Module 1 were 4.04-4.39/5 and of module 2 were 4.09-4.42/5. Residents preferred the small group format to lecture. On the multiple choice examination, PGY-2 residents that completed the 2 modules performed at a level equivalent to residents with an additional year of training. Scheduling of modules presented difficulties.

Conclusions: The call for improvement of patient safety-related competencies begs for cooperative, centralized efforts. as these are not specialty-specific and are suited to delivery to multiple types of learners. We created 2 well-received educational modules and increased resident patient safety knowledge. Scheduling difficulties were frustrating and continue to challenge this effort.