Supporting a culture of patient safety: Resident-led patient safety event reviews in a pathology residency training program

Tucker, Catherine M.; Jaffe, Rebecca; Goldberg, Allison

doi:10.1016/j.acpath.2023.100069

Cited by 3 publications

(5 citation statements)

References 14 publications

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“…Programs that do not operate on a similar cyclical schedule would need to ensure that their residents have sufficient protected educational time to hold comprehensive meetings with facilitators and multidisciplinary team members as well as time for completion of work between sessions; this is feasible, as evidenced by the successful implementation of a version of this curriculum in the pathology residency program at our institution. 24 Additionally, we are fortunate to have multiple dedicated faculty mentors with both interest and expertise in QIPS. Residency programs earlier in the process of QIPS education implementation would first need to concentrate on faculty development to ensure an optimal learning experience.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…In emergencies, speed and accuracy in responding to patients can be important determinants of their safety and health (Burnitt et al, 2024;Taskin et al, 2024). Therefore, the development of a triage system in the emergency room is very important, as the system aims to group patients based on their severity so that medical services can be prioritized properly (Tucker et al, 2023;Xue et al, 2024). One widely used triage model is the Emergency Severity Index (ESI), which has proven effective in accelerating the management of emergency patients by prioritizing them based on the severity of medical conditions (Wibowo, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…Errors in determining the severity of the patient can result in delays in urgent medical care and even increase the risk of complications or death. Data from the United Kingdom recorded 236 cases of patient misidentification leading to death between November 2003 and July 2005 (Labrague, 2024;Tucker et al, 2023).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Animated Video Learning on ESI Triage Knowledge and Student Satisfaction of Nursing Polytechnic Health Ministry of Health Makassar

Sudirman,

Kumboyono,

Suryanto

2024

JHS

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Triage at the hospital's Emergency Room (ER) is critical for prioritizing the care of emergency patients. Triage errors can be dangerous and endanger patient safety, so nursing students should have a solid understanding of triage. This study investigates the impact of ESI triage learning media containing PowerPoint and animated films on knowledge, triage decision-making (TDM), and participant satisfaction. The research used a quantitative approach with a Quasi-Experimental pretest-posttest method involving 36 5th semester Diploma Nursing students at the Makassar Ministry of Health Polytechnic. The study was divided into two groups, experimental (animated video learning) and control (PowerPoint learning), to evaluate the effect of treatment on knowledge, triage decision-making, and student satisfaction in ESI triage learning. The results of the data analysis show a significant increase in knowledge about ESI Triage and student satisfaction after the intervention, with significant values of 0.001 and 0.018, respectively (p-value < 0.05). Although there was no significant increase in Triage decision-making abilities between the groups that used animated videos and Microsoft PowerPoint (p = 0.440), the use of animated videos overall increased student responses and satisfaction. MANOVA analysis confirmed that the implementation of animated videos significantly influenced knowledge and satisfaction in students with a p-value <0.05. The use of animated videos increases student knowledge and satisfaction significantly compared to PowerPoint, although it does not affect triage decision-making.

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Section: Introductionmentioning

confidence: 99%

“…We did identify an internal medicine resident-led single session workshop on breaking bad news that successfully increased confidence in breaking bad news, 14 as well as resident-led curricula for non-communication topics. [30][31][32][33][34] Resident-led strategies have recently become a priority of graduate medical education as a method to foster meaning and joy in trainee work. 30,[35][36][37][38] The Accreditation Council for Graduate Medical Education (ACGME) launched the Back to Bedside Project in 2018 to empower residents and fellows to develop innovative projects to engage patients on a deeper level.…”

Section: Introductionmentioning

confidence: 99%

An innovative approach to comprehensive communication skills training for residents: A resident-led communication curriculum

Chang,

Suri,

Huang

et al. 2023

Journal of Investigative Medicine

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Innovations to enhance residency training in interpersonal and communication skills are needed and a resident-led strategy has not been well-described. In this study, we explored a resident-led comprehensive communication skills curriculum for internal medicine residents. Residents and faculty prepared the curriculum as part of an ACGME Back to Bedside project and with “The Language of Caring Guide for Physicians.” Employing active learning techniques, three residents led forty-three internal medicine residents in seven one-hour sessions from 2019-2020. Using a 35-question survey, we assessed pre and post self-reported competence in: mindful practice, collaboration and teamwork, effective openings and closing, communicating with empathy, effective explanations, engaging patients and families as partners, and hard conversations. A Wilcoxon signed rank test was employed to explore differences in median scores after matching each person’s pretest and posttest score. The median score for aggregate communication and the scores for all seven competencies assessed improved from pre to post (p<0.05). This indicates that residents reported higher incidences of performing patient-centered communication skills after the curriculum compared to before. Using a 5-point Likert scale, 100% of participants agreed the program improved their communication skills and improved confidence in bedside patient-centered communications. A resident-led comprehensive communication skills curriculum for internal medicine residents was implemented showing improvement in skills over the course of the curriculum. The curriculum was well-accepted by post-survey evaluation and was feasible with motivated resident-leaders, use of an existing guide to communication, and reserved didactic time to implement the program.

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Supporting a culture of patient safety: Resident-led patient safety event reviews in a pathology residency training program

Cited by 3 publications

References 14 publications

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

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

The Effect of Animated Video Learning on ESI Triage Knowledge and Student Satisfaction of Nursing Polytechnic Health Ministry of Health Makassar

An innovative approach to comprehensive communication skills training for residents: A resident-led communication curriculum

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