An Inpatient Patient Safety Curriculum for Pediatric Residents
Introduction Patient safety is recognized as an important part of pediatric resident education. There is a lack of published safety curricula targeting pediatric residents. A local needs assessment showed that while residents felt safety was an important part of their current and future jobs, they d...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Association of American Medical Colleges
2018-04-01
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| Series: | MedEdPORTAL |
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| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.10705 |
| _version_ | 1819040562469142528 |
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| author | John Szymusiak Michael D. Fox Catherine Polak Kwonho Jeong Doris Rubio Stephanie Dewar Andrew Urbach Alda Maria Gonzaga |
| author_facet | John Szymusiak Michael D. Fox Catherine Polak Kwonho Jeong Doris Rubio Stephanie Dewar Andrew Urbach Alda Maria Gonzaga |
| author_sort | John Szymusiak |
| collection | DOAJ |
| description | Introduction Patient safety is recognized as an important part of pediatric resident education. There is a lack of published safety curricula targeting pediatric residents. A local needs assessment showed that while residents felt safety was an important part of their current and future jobs, they did not feel prepared to apply safety principles to their future careers or participate in a root cause analysis (RCA). Methods This curriculum was delivered to senior-level pediatric and multiple-board residents during five monthly, hour-long, multidisciplinary sessions. Sessions covered systems-based thinking, terminology, the second victim phenomenon, RCA, and medication errors, while providing feedback on recent event reports filed by residents. Resident knowledge, attitudes, and reporting behavior were evaluated prior to and following the curriculum. Results Attendees showed statistically significant improved safety attitudes and preparedness to apply safety to their future endeavors; conversely, there were no significant changes in nonattendees. There were no significant changes in knowledge scores or event reporting. Answers to qualitative questions identified learning about the reporting process, RCAs, and follow-up on filed event reports as valuable parts of the curriculum. Residents desired more time to debrief about safety events. Discussion The curriculum succeeded in engaging residents in patient safety and making them feel prepared for future practice. Residents showed a dissonance between their intentions to report and their actual reporting behaviors, the reasons for which require further exploration. Residents desired a forum to deal with the emotions involved in errors. This curriculum is easily transferable to other institutions with minor modifications. |
| first_indexed | 2024-12-21T09:11:04Z |
| format | Article |
| id | doaj.art-30796f7ea11944c59eec9afe55c976e9 |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-12-21T09:11:04Z |
| publishDate | 2018-04-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-30796f7ea11944c59eec9afe55c976e92022-12-21T19:09:14ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652018-04-011410.15766/mep_2374-8265.10705An Inpatient Patient Safety Curriculum for Pediatric ResidentsJohn Szymusiak0Michael D. Fox1Catherine Polak2Kwonho Jeong3Doris Rubio4Stephanie Dewar5Andrew Urbach6Alda Maria Gonzaga7Assistant Professor, Department of Medicine, University of Pittsburgh School of Medicine; Assistant Professor, Department of Pediatrics, University of Pittsburgh School of MedicineClinical Assistant Professor, Department of Pediatrics, Sidney Kimmel Medical College at Thomas Jefferson UniversityAssistant Professor, Department of Pediatrics, University of Pittsburgh School of MedicineStatistician, Center for Research on Health Care Data Center, University of Pittsburgh School of MedicineProfessor of Medicine, Biostatistics, Nursing, and Clinical and Translational Science, University of Pittsburgh School of MedicineAssociate Professor, Department of Pediatrics, University of Pittsburgh School of MedicineClinical Professor, Department of Pediatrics, University of Pittsburgh School of MedicineAssociate Professor, Department of Medicine, University of Pittsburgh School of Medicine; Associate Professor, Department of Pediatrics, University of Pittsburgh School of MedicineIntroduction Patient safety is recognized as an important part of pediatric resident education. There is a lack of published safety curricula targeting pediatric residents. A local needs assessment showed that while residents felt safety was an important part of their current and future jobs, they did not feel prepared to apply safety principles to their future careers or participate in a root cause analysis (RCA). Methods This curriculum was delivered to senior-level pediatric and multiple-board residents during five monthly, hour-long, multidisciplinary sessions. Sessions covered systems-based thinking, terminology, the second victim phenomenon, RCA, and medication errors, while providing feedback on recent event reports filed by residents. Resident knowledge, attitudes, and reporting behavior were evaluated prior to and following the curriculum. Results Attendees showed statistically significant improved safety attitudes and preparedness to apply safety to their future endeavors; conversely, there were no significant changes in nonattendees. There were no significant changes in knowledge scores or event reporting. Answers to qualitative questions identified learning about the reporting process, RCAs, and follow-up on filed event reports as valuable parts of the curriculum. Residents desired more time to debrief about safety events. Discussion The curriculum succeeded in engaging residents in patient safety and making them feel prepared for future practice. Residents showed a dissonance between their intentions to report and their actual reporting behaviors, the reasons for which require further exploration. Residents desired a forum to deal with the emotions involved in errors. This curriculum is easily transferable to other institutions with minor modifications.http://www.mededportal.org/doi/10.15766/mep_2374-8265.10705Root Cause AnalysisResident EducationPatient SafetyPediatricsMedical Student Education |
| spellingShingle | John Szymusiak Michael D. Fox Catherine Polak Kwonho Jeong Doris Rubio Stephanie Dewar Andrew Urbach Alda Maria Gonzaga An Inpatient Patient Safety Curriculum for Pediatric Residents MedEdPORTAL Root Cause Analysis Resident Education Patient Safety Pediatrics Medical Student Education |
| title | An Inpatient Patient Safety Curriculum for Pediatric Residents |
| title_full | An Inpatient Patient Safety Curriculum for Pediatric Residents |
| title_fullStr | An Inpatient Patient Safety Curriculum for Pediatric Residents |
| title_full_unstemmed | An Inpatient Patient Safety Curriculum for Pediatric Residents |
| title_short | An Inpatient Patient Safety Curriculum for Pediatric Residents |
| title_sort | inpatient patient safety curriculum for pediatric residents |
| topic | Root Cause Analysis Resident Education Patient Safety Pediatrics Medical Student Education |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.10705 |
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