Patient Safety Escape Room: A Graduate Medical Education Simulation for Event Reporting

Introduction Although residents are on the front lines of patient care, they enter few formal patient safety reports on the adverse events and near misses they witness. Demonstrating the rationale and mechanics of reporting may improve this. Methods We designed and implemented an escape room patient...

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Main Authors: Gretchen Diemer, Rebecca Jaffe, Dimitrios Papanagnou, Xiao Chi Zhang, Jillian Zavodnick
Format: Article
Language:English
Published: Association of American Medical Colleges 2019-12-01
Series:MedEdPORTAL
Subjects:
Online Access:http://www.mededportal.org/doi/10.15766/mep_2374-8265.10868
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author Gretchen Diemer
Rebecca Jaffe
Dimitrios Papanagnou
Xiao Chi Zhang
Jillian Zavodnick
author_facet Gretchen Diemer
Rebecca Jaffe
Dimitrios Papanagnou
Xiao Chi Zhang
Jillian Zavodnick
author_sort Gretchen Diemer
collection DOAJ
description Introduction Although residents are on the front lines of patient care, they enter few formal patient safety reports on the adverse events and near misses they witness. Demonstrating the rationale and mechanics of reporting may improve this. Methods We designed and implemented an escape room patient safety simulation to incorporate active learning, gamification, and adult learning theory into intern patient safety onboarding. Interns from all sponsoring institution programs participated, identifying, mitigating, and reporting a range of patient safety hazards. Props and faculty time were the major resources required. Results One hundred twenty interns participated in this simulation in June 2018. Forty-one percent reported previous training on reporting errors, and only 5% had previously entered an event report. Average confidence in ability to identify patient safety hazards improved after the simulation from 6.35 to 8.00 on a 10-point rating scale. The simulation was rated as relevant or highly relevant to practice by 96% of interns. Discussion Several factors contribute to a low error-reporting rate among house staff. We developed a simulation modeled on popular escape room activities to increase awareness of safety hazards and ensure familiarity with the actual online reporting system our interns will use in the clinical environment.
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spelling doaj.art-a9df1713007541d4a2525fa62a0b27e52022-12-21T21:21:17ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652019-12-011510.15766/mep_2374-8265.10868Patient Safety Escape Room: A Graduate Medical Education Simulation for Event ReportingGretchen Diemer0Rebecca Jaffe1Dimitrios Papanagnou2Xiao Chi Zhang3Jillian Zavodnick4Associate Professor, Department of Medicine, Sidney Kimmel Medical College at Thomas Jefferson UniversityAssociate Professor, Department of Medicine, Sidney Kimmel Medical College at Thomas Jefferson UniversityAssociate Professor, Department of Emergency Medicine, Sidney Kimmel Medical College at Thomas Jefferson UniversityInstructor, Department of Emergency Medicine, Sidney Kimmel Medical College at Thomas Jefferson UniversityClinical Assistant Professor, Department of Medicine, Sidney Kimmel Medical College at Thomas Jefferson UniversityIntroduction Although residents are on the front lines of patient care, they enter few formal patient safety reports on the adverse events and near misses they witness. Demonstrating the rationale and mechanics of reporting may improve this. Methods We designed and implemented an escape room patient safety simulation to incorporate active learning, gamification, and adult learning theory into intern patient safety onboarding. Interns from all sponsoring institution programs participated, identifying, mitigating, and reporting a range of patient safety hazards. Props and faculty time were the major resources required. Results One hundred twenty interns participated in this simulation in June 2018. Forty-one percent reported previous training on reporting errors, and only 5% had previously entered an event report. Average confidence in ability to identify patient safety hazards improved after the simulation from 6.35 to 8.00 on a 10-point rating scale. The simulation was rated as relevant or highly relevant to practice by 96% of interns. Discussion Several factors contribute to a low error-reporting rate among house staff. We developed a simulation modeled on popular escape room activities to increase awareness of safety hazards and ensure familiarity with the actual online reporting system our interns will use in the clinical environment.http://www.mededportal.org/doi/10.15766/mep_2374-8265.10868Patient SafetySimulationGamificationRisk ManagementError ReportingEvent Reporting
spellingShingle Gretchen Diemer
Rebecca Jaffe
Dimitrios Papanagnou
Xiao Chi Zhang
Jillian Zavodnick
Patient Safety Escape Room: A Graduate Medical Education Simulation for Event Reporting
MedEdPORTAL
Patient Safety
Simulation
Gamification
Risk Management
Error Reporting
Event Reporting
title Patient Safety Escape Room: A Graduate Medical Education Simulation for Event Reporting
title_full Patient Safety Escape Room: A Graduate Medical Education Simulation for Event Reporting
title_fullStr Patient Safety Escape Room: A Graduate Medical Education Simulation for Event Reporting
title_full_unstemmed Patient Safety Escape Room: A Graduate Medical Education Simulation for Event Reporting
title_short Patient Safety Escape Room: A Graduate Medical Education Simulation for Event Reporting
title_sort patient safety escape room a graduate medical education simulation for event reporting
topic Patient Safety
Simulation
Gamification
Risk Management
Error Reporting
Event Reporting
url http://www.mededportal.org/doi/10.15766/mep_2374-8265.10868
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