Resident Case Review at the Departmental Level: A Win-Win Scenario

Carbo, Alexander R.; Goodman, Elaine; Totte, Cheryle; Clardy, Peter; Feinbloom, David; Kim, Hans; Kriegel, Gila; Dierks, Meghan; Weingart, Saul N.; Sands, Ken; Aronson, Mark D.; Tess, Anjala

doi:10.1016/j.amjmed.2015.12.003

Cited by 3 publications

(4 citation statements)

References 19 publications

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“…Among the 46 studies, 35 represented unique institutions and 11 were same authors/institutions describing different aspects of the process or domains. The types of articles identified included 14 descriptive [ 11 – 24 ], three editorials [ 25 – 27 ] 15 prospective [ 28 – 42 ], seven quality improvement projects [ 12 , 43 – 48 ], and ten retrospective [ 11 , 30 , 49 – 56 ]. The 16 domains of successful care review that were identified for abstraction are presented and defined in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

Clinical care review systems in healthcare: a systematic review

et al. 2018

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BackgroundClinical care review is the process of retrospectively examining potential errors or gaps in medical care, aiming for future practice improvement. The objective of our systematic review is to identify the current state of care review reported in peer-reviewed publications and to identify domains that contribute to successful systems of care review.MethodsA librarian designed and conducted a comprehensive literature search of eight electronic databases. We evaluated publications from January 1, 2000, through May 31, 2016, and identified common domains for care review. Sixteen domains were identified for further abstraction.ResultsWe found that there were few publications that described a comprehensive care review system and more focus on individual pathways within the overall systems. There is inconsistent inclusion of the identified domains of care review.ConclusionWhile guidelines for some aspects of care review exist and have gained traction, there is no comprehensive standardized process for care review with widespread implementation.Electronic supplementary materialThe online version of this article (10.1186/s12245-018-0166-y) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Clinical care review systems in healthcare: a systematic review

et al. 2018

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“…One of the strengths of our program is the interprofessional group of faculty and PS experts involved in the development and delivery of the curriculum. Although other curricula have been primarily delivered by using online modules ( 14 , 20 ), by chief residents ( 13 , 18 , 20 , 26 ), by resident QI–PS councils ( 15 , 27 ), by faculty with QI–PS interests ( 13 , 18 , 22 , 28 ), or by including residents in institutional QI–PS frameworks ( 23 , 29 ), a novel feature of our curriculum is the direct integration of a local PS expert from our institution’s office of PS into the classroom. The PS analyst was intimately involved with the design of the curriculum and served as the moderator for the active-learning sessions.…”

Section: Discussionmentioning

confidence: 99%

“…Limitations of this institutional curriculum include the small sample size, as well as the timing and continuity, which are common barriers in GME curricula ( 19 , 29 ). Resident attendance was variable because of time off, vacation, and night-shift responsibilities, which also affected curricular evaluations because only those present for the respective session took part in the assessment.…”

Section: Discussionmentioning

confidence: 99%

Effect of Patient Safety Curriculum for Internal Medicine Residents on a Health Care System

et al. 2022

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Background Healthcare organizations seeking to promote a safety culture depend on engaged clinicians. Academic medical centers include a community of physicians-in-training; however, medical residents and fellows are historically less engaged in patient safety (PS) than are other clinicians. Increased attention has been focused on integrating PS into graduate medical education. Nonetheless, developing curricula that result in real-world system changes is difficult. Objective To develop an interactive PS curriculum for internal medicine (IM) residents that analyzes real-word PS problems. Methods A multidisciplinary group developed a five-session, case-based PS curriculum for IM residents in the context of a 3-year, longitudinal quality-improvement, PS, and high-value-care curriculum. The curriculum was facilitated by a PS analyst and incorporated mock root cause analysis (RCA) based on actual resident-reported PS events. Each mock RCA developed an action plan, and outcomes were tracked. Pre- and postcurriculum assessments with participating residents were conducted to evaluate the curriculum. Results Twenty-eight IM residents completed the curriculum during four iterations from 2017 to 2020. The curriculum identified multiple potential PS risks, led to tangible changes in clinical processes, and enhanced resident confidence in improving systems of care. Conclusions We describe an active-learning PS curriculum for IM residents that addressed actual resident-reported PS problems. Through RCA, action items were identified and meaningful system changes were made. Leveraging the expertise of local PS experts in the design and delivery of PS curricula may improve the translation of learner recommendations into real system changes and cultivate a positive PS culture.

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“… 14 – 16 Yet other programs conduct patient safety education by fostering resident involvement in morbidity, mortality, and improvement case conferences 17 – 19 or departmental peer review committees. 20 , 21 These educational methods are certainly valuable components of patient safety education; however, they are not sufficient in addressing the deficiencies outlined in the 2021 CLER report given that they typically do not emphasize the importance of reviewing low-harm or near-miss events and do not necessarily engage all residents in event review processes. 2 They additionally are not sufficient in fulfilling the goals of the PEI PSC given that they do not describe active participation in event review for PGY 1 learners.…”

Section: Introductionmentioning

confidence: 99%

Early Immersion in Team-Based Event Review: Experiential Patient Safety Education for PGY 1 Internal Medicine Residents

Perkons,

Wickersham,

Bharel

et al. 2024

MedEdPORTAL

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Introduction In recent years, there has been a national push to incorporate high-fidelity quality improvement and patient safety (QIPS) education into physician training programs. In fact, integration of robust patient safety education became an Accreditation Council for Graduate Medical Education (ACGME) Common Program Requirement for residency programs in 2017. We developed a curriculum to not only fulfill the ACGME's requirement but also provide PGY 1 internal medicine residents with the skills needed to become active participants in ongoing patient safety work throughout their training and careers. Methods Our patient safety curriculum was woven into residents’ existing protected educational time and supported by a standardized facilitator guide and participant workbook. It combined didactic prework with the review of recent near-miss or low-harm patient safety events, empowering residents to identify root causes and propose interventions. Results We successfully delivered our patient safety curriculum to 80 PGY 1 residents over the course of 2 academic years. Residents rated the curriculum as a valuable educational experience, and the event reviews they completed met most of the criteria for high-quality patient safety reviews according to the Strong String Assessment. Discussion Implementation of this standardized curriculum has allowed us to reliably and consistently incorporate experiential patient safety education into the first year of training for internal medicine residents. Unlike purely didactic sessions, our curriculum encourages active learning, building muscle memory for event reviews that enables future engagement in patient safety activities.

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Resident Case Review at the Departmental Level: A Win-Win Scenario

Cited by 3 publications

References 19 publications

Clinical care review systems in healthcare: a systematic review

Clinical care review systems in healthcare: a systematic review

Effect of Patient Safety Curriculum for Internal Medicine Residents on a Health Care System

Early Immersion in Team-Based Event Review: Experiential Patient Safety Education for PGY 1 Internal Medicine Residents

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