Developing a Patient Safety Curriculum for Internal Medicine Residents
Project Description: This was a pilot project conducted from 12/2004 through 1/2005 to: 1) Ascertain Internal Medicine residents' knowledge, attitudes, and skills regarding patient safety; 2) Determine whether case-based seminars and standardized patient scenarios can teach residents to identify, self-report, prevent, and investigate errors; 3) Apply results to develop future patient safety curricula at this institution. 30 Internal Medicine residents completed baseline surveys to determine baseline patient safety knowledge, attitudes and prescription writing skills, then PGY-1 residents received two, 1-hour seminars on systems-based analyses of hazardous practices. These included discussions of ways to prevent prescriber errors and miscommunication during "hand offs" and methods of disclosing errors to patients. PGY-1 residents were then re-surveyed following the seminars. Following completion of the seminars, two teams of PGY-1 and PGY-2 or PGY-3 residents were video-recorded conducting mock team work rounds and disclosing errors to standardized patients. One scenario concerned a patient with poorly controlled diabetes who is hospitalized for treatment of cellulitis; an ordered dose of antibiotics is erroneously not administered and a diabetic medication is erroneously admitted from admission orders. A second scenario concerned a patient with chronic sleep apnea and emphysema hospitalized for treatment of pneumonia; the patient is resuscitated in radiology after a respiratory arrest attributed to oversedation from multiple sedative agents administered for pain. [Funded by a grant from UF COM Chapman Education Center; Seminar materials adapted from those developed by J Gosbee, VA National Center for Patient Safety; C Mottur-Pilson, American College of Physicians; M Cohen, Institute for Safe Medication Practices]. In: J Gen Intern Med. 2005;20(s1):30.
QPI: Eric, Rosenberg, (email@example.com)
UF Health Big Aims: Transform our Culture None
MeSH Keywords: safety education, patient safety curriculum