Project Information

Implementation of a Mock Root Cause Analysis to Provide Simulated Patient Safety Training

Project Description: The proposed revision to the ACGMECommon Program Requirements includes participation in mock or real interprofessional patient safety activities, such as root cause analysis (RCA). In some medical specialties, RCA may occur in low frequency, thus limiting housestaff exposure. Further, while teaching housestaff patient safety and quality care activities such as RCA has become important, there is little data or information available on optimal educational strategies for these topics. In recent years, the ACGME has placed increasing emphasis on simulation-based training. Simulation has been traditionally explored in procedure-based specialties like surgery as a means to improve skills with technical tasks. However, there is data to suggest that simulation may be an effective method for teaching skills like working in multidisciplinary care teams or physician-patient interaction.Housestaff completing our Hematology/Oncology Fellowship program have experienced inconsistent opportunities to participate in institutional RCAs. Based on this perceived need, we developed a mock RCA to simulate this quality improvement and error analysis experience and in doing so, improve housestaff knowledge of and participation in the RCA process.

QPI: Martina, Murphy, (

Collaborators: Merry Jennifer, Markham, (; (; (

Advisors: Martina, Murphy, (

UF Health Big Aims: Transform our Culture None

MeSH Keywords: Education, Medical, Education, Medical, Graduate, Education, Medical, Undergraduate, Quality of Health Care, Root Cause Analysis