Patient Safety Instruction in US Health Professions Education

Abstract

Objective. To describe patient safety instruction in health professional curricula, including medicine, nursing, pharmacy, and dentistry. Methods. A systematic review of the literature from 1966 through 2010 was conducted using 6 databases and based on 3 search criteria: safety management, patient safety, and curriculum. Results. One hundred fifty-four articles were identified and 23 met inclusion criteria. A variety of educational methods have been used in health profession curricula to promote patient safety including lectures, workshops, objective structured clinical examinations, standardized patients, simulation exercises, root cause analysis, quality assurance projects, and other interactive learning methods. The development of patient safety curricula has been primarily discipline-specific, with little interdisciplinary research found. Conclusions. Safe, patient-centered care is directly influenced by the quality of education that healthcare professions students receive. From this literature review, research is needed to guide curricular change, specifically focusing on instructional methods and interdisciplinary collaborations.

Efectividad de la simulación en la educación médica desde la perspectiva de seguridad de pacientes

“…Se necesita evidenciar que esta metodología mejora el logro de las competencias desde la perspectiva de la seguridad del paciente antes del ejercicio de la profesión médica 16 .…”

The Effectiveness of a Course on Patient Safety Management on the Patient Safety Competencies by Final Year Bachelor of Nursing Students in the Netherlands

“…These environments should enhance learning form mistakes by analysing what happened to gain a full understanding of the encounter without triggering a judgmental behaviour [22]. In order to acquire a level of mastery on patient safety competencies, nursing education uses appropriate teaching methods to supply the fundamental components of patient safety [1,3,4,[8][9][10]27]. Patient safety is a part of daily practice, however, is not yet included in all nursing education curricula [3].…”

“…Patient safety is becoming majorly important in delivering healthcare and education, both on a national and international level [2,6]. Due to the publications 'To Err Is Human' and 'Crossing the Quality Chasm', produced by the Institute of Medicine (IOM), the healthcare system shows an increased focus on patient safety [4,7,8]. The IOM defined patient safety as freedom from accidental injury.…”

Root Cause Analysis Design and Its Application to Pharmacy Education

“…3 To date, limited work has examined the integration of patient safety curricula into health professions education. 4,5 The most comprehensive review noted that research on instructional methods necessary to guide curricular change in patient safety is needed. 5 In terms of patient safety instruction in pharmacy education, 2 studies provided information on current practices.…”

“…4,5 The most comprehensive review noted that research on instructional methods necessary to guide curricular change in patient safety is needed. 5 In terms of patient safety instruction in pharmacy education, 2 studies provided information on current practices. 6,7 West-Strum et al found that, across 107 different pharmacy schools, safety science subjects were integrated into the majority of schools, but certain gaps were identified (eg, risk communication, FDA Sentinel Event Initiative).…”