Detailed Findings from the CLER National Report of Findings 2016

Wagner, Robin; Koh, Nancy J.; Patow, Carl A.; Newton, Robin C.; Casey, Baretta R.; Weiss, Kevin B.

doi:10.4300/1949-8349.8.2s1.35

Cited by 47 publications

(37 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To guide their work, the Patient Safety Collaborative teams built on a framework developed by the National Collaborative for Improving the Clinical Learning Environment (NCICLE) for engaging new clinicians in patient safety. 5 The NCICLE framework includes 4 areas in which new clinicians need to attain competence by the end of their first year in practice: (1) Understand the CLE's ''culture of safety''; (2) Recognize and report patient safety issues; (3) Participate in the analysis of patient safety events; and (4) Recognize how the CLE translates patient safety event reports into improvements.…”

Section: Building From a National Frameworkmentioning

confidence: 99%

The CLER Pursuing Excellence Pathway Leaders Collaborative: Enhancing Resident and Fellow Engagement in Patient Safety

Passiment

Wagner

Newton

et al. 2019

Journal of Graduate Medical Education

Self Cite

View full text Add to dashboard Cite

Section: Building From a National Frameworkmentioning

confidence: 99%

The CLER Pursuing Excellence Pathway Leaders Collaborative: Enhancing Resident and Fellow Engagement in Patient Safety

Passiment

Wagner

Newton

et al. 2019

Journal of Graduate Medical Education

Self Cite

View full text Add to dashboard Cite

“…Not surprisingly, the 2016 ACGME Clinical Learning Environment Review (CLER) program, designed to review the nearly 300 medical institutions and hospitals that support almost 9,000 GME training programs, reported substantial deficiencies in 2016 regarding resident knowledge of and engagement in quality improvement initiatives. 50 This is a limitation in surgical education that needs to be addressed. Resident-led and leadership supported quality improvement projects are integral to preparing trainees for independent practice in a complex healthcare system that is increasingly emphasizing value and safety in patient care.…”

Section: Discussionmentioning

confidence: 99%

Impact of an Event Reporting System on Resident Complication Reporting in Plastic Surgery Training: Addressing an ACGME and Plastic Surgery Milestone Project Core Competency

Parikh

Snyder‐Warwick

Naidoo

et al. 2017

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

STRUCTURED ABSTRACT Background The ACGME and Plastic Surgery Milestone Project have identified practice-based learning and improvement (PBLI), which involves systematically analyzing current practices and implementing changes for quality improvement, as a core competency in residency education. In surgical care, complication reporting is an essential component of PBLI as complications are analyzed in morbidity and mortality (M&M) conference for quality improvement. Unfortunately, current methods for capturing a comprehensive profile of complications for analysis at M&M conference are often inadequate and may significantly underestimate the true occurrence of complications. Therefore, the objectives of this study are to evaluate an intervention for complication reporting, and compare this to current practice, in a plastic surgery training program. Methods This is a pre- and post-intervention study evaluating resident reporting of complications on a plastic surgery service. The intervention was an online event reporting system developed by department leadership and patient safety experts. The pre- and post-cohorts consisted of all patients having surgery during two separate 3-month blocks bridged by an implementation period. An additional cohort was evaluated 7-months after the first post-intervention group, over a 1-month block, to analyze consistency over time. A trained reviewer recorded complications and this served as the reference standard. Fisher’s exact test was used for binary comparisons. Results There were 32 complications detected in 219 patients from June–August, 2015, 35 complications in 202 patients from October–December, 2015, and 9 complications in 91 patients from August–September, 2016. The proportion of complications reported for M&M conference in the pre-intervention group was 28.1% (9/32). After the intervention, this significantly increased to 91.4% (32/35) (p < 0.001). When allowing for a time lapse, the proportion reported (88%, 8/9) remained increased (p = 0.002). Conclusions An intervention utilizing an event reporting system, supported by departmental leadership, led to significant improvements in complication reporting by plastic surgery residents.

show abstract

“…Event reporting is a necessary component of a culture of safety. Event reporting and review are important areas of focus for the Accreditation Council for Graduate Medical Education Clinical Learning Environment Review 1. The objective of this project was to promote a culture of safety and meet patient safety and quality improvement requirements from the Accreditation Council for Graduate Medical Education in an Emergency Medicine residency by enhancing utilization of our computerized patient safety event reporting system.…”

Section: Problemmentioning

confidence: 99%

Increasing Patient Safety Event Reporting in an Emergency Medicine Residency

Steen¹,

Jaeger²,

Price³

et al. 2017

BMJ Qual Improv Report

View full text Add to dashboard Cite

Patient safety event reporting is an important component for fostering a culture of safety. Our tertiary care hospital utilizes a computerized patient safety event reporting system that has been historically underutilized by residents and faculty, despite encouragement of its use. The objective of this quality project was to increase patient safety event reporting within our Emergency Medicine residency program. Knowledge of event reporting was evaluated with a survey. Eighteen residents and five faculty participated in a formal educational session on event reporting followed by feedback every two months on events reported and actions taken. The educational session included description of which events to report and the logistics of accessing the reporting system. Participants received a survey after the educational intervention to assess resident familiarity and comfort with using the system. The total number of events reported was obtained before and after the educational session. After the educational session, residents reported being more confident in knowing what to report as a patient safety event, knowing how to report events, how to access the reporting tool, and how to enter a patient safety event. In the 14 months preceding the educational session, an average of 0.4 events were reported per month from the residency. In the nine months following the educational session, an average of 3.7 events were reported per month by the residency. In addition, the reported events resulted in meaningful actions taken by the hospital to improve patient safety, which were shared with the residents. Improvement efforts including an educational session, feedback to the residency of events reported, and communication of improvements resulting from reported events successfully increased the frequency of safety event reporting in an Emergency Medicine residency.

show abstract

Detailed Findings from the CLER National Report of Findings 2016

Cited by 47 publications

References 3 publications

The CLER Pursuing Excellence Pathway Leaders Collaborative: Enhancing Resident and Fellow Engagement in Patient Safety

The CLER Pursuing Excellence Pathway Leaders Collaborative: Enhancing Resident and Fellow Engagement in Patient Safety

Impact of an Event Reporting System on Resident Complication Reporting in Plastic Surgery Training: Addressing an ACGME and Plastic Surgery Milestone Project Core Competency

Increasing Patient Safety Event Reporting in an Emergency Medicine Residency

Contact Info

Product

Resources

About