Patient Safety Morning Report: Innovation in Teaching Core Patient Safety Principles to Third-Year Medical Students.

Autor: Beekman M; Department of Pediatrics, University of Illinois College of Medicine Peoria, Peoria, IL, USA., Emani VK; Department of Internal Medicine, University of Illinois College of Medicine Peoria, Peoria, IL, USA., Wolford R; Department of Emergency Medicine, University of Illinois College of Medicine Peoria, Peoria, IL, USA., Hanson K; Department of Pediatrics, University of Illinois College of Medicine Peoria, Peoria, IL, USA., Wickham G; Department of Academic Affairs, University of Illinois College of Medicine Peoria, Peoria, IL, USA.; Department of Health Sciences Education, University of Illinois College of Medicine Peoria, Peoria, IL, USA., Aiyer M; Department of Internal Medicine, University of Illinois College of Medicine Peoria, Peoria, IL, USA.; Department of Academic Affairs, University of Illinois College of Medicine Peoria, Peoria, IL, USA.; Department of Health Sciences Education, University of Illinois College of Medicine Peoria, Peoria, IL, USA.
Jazyk: angličtina
Zdroj: Journal of medical education and curricular development [J Med Educ Curric Dev] 2019 Apr 22; Vol. 6, pp. 2382120519842539. Date of Electronic Publication: 2019 Apr 22 (Print Publication: 2019).
DOI: 10.1177/2382120519842539
Abstrakt: Introduction: Patient safety (PS) is one of the most important priorities in modern healthcare systems. Unfortunately, PS education is limited in many medical school curricula. Our objective was to implement an innovative curriculum to introduce third-year medical students on their pediatric clerkship to PS concepts and domains, and to provide a safe environment to discuss lapses in PS that they identified while caring for patients.
Methods: At the start of the pediatric clerkship, students were introduced to the curriculum, instructed to identify a lapse of PS, and to submit a description and analysis of the lapse using the SAFE framework (S = Safety concern, A = Action taken, F = Failure, linked to safety domains, E = Effects on patient outcome). Two sessions, 90-mins each, were conducted every clerkship during which there was a brief didactic presentation, each student presented their case, and the case discussed by students and faculty.
Results: Over 19 months, 75 students participated. The most common PS themes identified were Communication (57% of cases), Human factors (39%), and System issues (37%). Anonymous written feedback was obtained; learners reported improved knowledge and ability to identify lapses in PS and to propose potential solutions to prevent similar future events. They expressed a desire for additional PS and quality improvement education.
Discussion: Our results show that third-year medical students are able to identify lapses in PS and able to propose solutions. This aligns with the Association of American Medical Colleges (AAMC) goals of entrustable professional activities (EPA) 13. We intend to expand the curriculum to other third-year core clerkships.
Competing Interests: Declaration of conflicting interests:MA declares that she is a shareholder in CGN Global. There are no other potential conflicts of interest to disclose.
Databáze: MEDLINE
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