Use of a Rubric to Improve the Quality of Internal Medicine Resident Event Reporting
Introduction As frontline providers, residents report patient safety events and provide crucial safety feedback. Specific ACGME and AAMC requirements for graduating residents include active participation in event reporting and patient safety investigations. However, formal training on what informati...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Association of American Medical Colleges
2021-10-01
|
| Series: | MedEdPORTAL |
| Subjects: | |
| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11189 |
| _version_ | 1818838211255861248 |
|---|---|
| author | Monica Arnell Rosemary Demet Lindsay Vaclavik Xiaofan Huang Kristen A. Staggers Cecilia Y. Cai Molly J. Horstman |
| author_facet | Monica Arnell Rosemary Demet Lindsay Vaclavik Xiaofan Huang Kristen A. Staggers Cecilia Y. Cai Molly J. Horstman |
| author_sort | Monica Arnell |
| collection | DOAJ |
| description | Introduction As frontline providers, residents report patient safety events and provide crucial safety feedback. Specific ACGME and AAMC requirements for graduating residents include active participation in event reporting and patient safety investigations. However, formal training on what information a quality event report should include to effect real change in the health care system is lacking. Methods This practical, interactive, case-based workshop educates residents on the key components of a quality event report in a 1-hour time frame. The scoring rubric offers quantitative feedback on the quality of information provided in residents’ own event reports. The materials include a presentation template, sample teaching points, pre- and posttraining patient safety cases for residents to complete their own event reports about, and a standardized rubric to score event reports for feedback. Results During the fall of 2019, 198 internal medicine residents completed the workshop, and 143 matched pre- and postcourse surveys were reviewed. Residents’ ability to correctly identify the key concepts of an event report improved from a median score of 4 to 8 (p < .001). After completion of training, residents reported increased knowledge regarding the content of an effective event report (p < .001) and increased confidence in their ability to write one (p < .001). Discussion Residents’ knowledge of key event-reporting concepts and confidence in reporting improved after completion of the workshop. This brief interactive training and its novel rubric can be used as a standardized tool for patient safety curricula in academic training programs. |
| first_indexed | 2024-12-19T03:34:47Z |
| format | Article |
| id | doaj.art-0fdcc49e3427466bac0fb5c4b5b8d384 |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-12-19T03:34:47Z |
| publishDate | 2021-10-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-0fdcc49e3427466bac0fb5c4b5b8d3842022-12-21T20:37:24ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652021-10-011710.15766/mep_2374-8265.11189Use of a Rubric to Improve the Quality of Internal Medicine Resident Event ReportingMonica Arnell0Rosemary Demet1Lindsay Vaclavik2Xiaofan Huang3Kristen A. Staggers4Cecilia Y. Cai5Molly J. Horstman6Clinical Instructor, Department of Medicine, Houston MethodistSecond-Year Medical Student, Baylor College of MedicineAssistant Professor of Medicine, Department of Medicine, Baylor College of MedicineBiostatistician, Institute for Clinical and Translational Research, Baylor College of MedicineBiostatistician, Institute for Clinical and Translational Research, Baylor College of MedicineClinical Fellow, Department of Medicine, Johns Hopkins University School of MedicineAssistant Professor of Medicine, Department of Medicine, Baylor College of Medicine; Investigator, Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical CenterIntroduction As frontline providers, residents report patient safety events and provide crucial safety feedback. Specific ACGME and AAMC requirements for graduating residents include active participation in event reporting and patient safety investigations. However, formal training on what information a quality event report should include to effect real change in the health care system is lacking. Methods This practical, interactive, case-based workshop educates residents on the key components of a quality event report in a 1-hour time frame. The scoring rubric offers quantitative feedback on the quality of information provided in residents’ own event reports. The materials include a presentation template, sample teaching points, pre- and posttraining patient safety cases for residents to complete their own event reports about, and a standardized rubric to score event reports for feedback. Results During the fall of 2019, 198 internal medicine residents completed the workshop, and 143 matched pre- and postcourse surveys were reviewed. Residents’ ability to correctly identify the key concepts of an event report improved from a median score of 4 to 8 (p < .001). After completion of training, residents reported increased knowledge regarding the content of an effective event report (p < .001) and increased confidence in their ability to write one (p < .001). Discussion Residents’ knowledge of key event-reporting concepts and confidence in reporting improved after completion of the workshop. This brief interactive training and its novel rubric can be used as a standardized tool for patient safety curricula in academic training programs.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11189Quality Improvement/Patient SafetyEvent ReportingError ReportCase-Based LearningInternal Medicine |
| spellingShingle | Monica Arnell Rosemary Demet Lindsay Vaclavik Xiaofan Huang Kristen A. Staggers Cecilia Y. Cai Molly J. Horstman Use of a Rubric to Improve the Quality of Internal Medicine Resident Event Reporting MedEdPORTAL Quality Improvement/Patient Safety Event Reporting Error Report Case-Based Learning Internal Medicine |
| title | Use of a Rubric to Improve the Quality of Internal Medicine Resident Event Reporting |
| title_full | Use of a Rubric to Improve the Quality of Internal Medicine Resident Event Reporting |
| title_fullStr | Use of a Rubric to Improve the Quality of Internal Medicine Resident Event Reporting |
| title_full_unstemmed | Use of a Rubric to Improve the Quality of Internal Medicine Resident Event Reporting |
| title_short | Use of a Rubric to Improve the Quality of Internal Medicine Resident Event Reporting |
| title_sort | use of a rubric to improve the quality of internal medicine resident event reporting |
| topic | Quality Improvement/Patient Safety Event Reporting Error Report Case-Based Learning Internal Medicine |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11189 |
| work_keys_str_mv | AT monicaarnell useofarubrictoimprovethequalityofinternalmedicineresidenteventreporting AT rosemarydemet useofarubrictoimprovethequalityofinternalmedicineresidenteventreporting AT lindsayvaclavik useofarubrictoimprovethequalityofinternalmedicineresidenteventreporting AT xiaofanhuang useofarubrictoimprovethequalityofinternalmedicineresidenteventreporting AT kristenastaggers useofarubrictoimprovethequalityofinternalmedicineresidenteventreporting AT ceciliaycai useofarubrictoimprovethequalityofinternalmedicineresidenteventreporting AT mollyjhorstman useofarubrictoimprovethequalityofinternalmedicineresidenteventreporting |