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FACULTY DEVELOPMENTEDUCATION PEARL
~~~~~~~~
PROMOTING AN ATTITUDE OF SAFETY
IN RESIDENTS
GRMEP Education Group:
Gayla Jewell, PhD, RNC, NP
Linda Youmans, MA, LPC
2012
What do New
Residents
think about
Safety Events?
During 2011 orientation, new residents responded to, “Making errors in medicine is inevitable.”
Responses:
Strongly Agree 12.5%
Agree 25%
Neutral 25%
Disagree 12.5%
Strongly Disagree 25%
And, “Competent physicians do not make medical errors that lead to patient harm.”
Responses:
Strongly Agree 25%
Agree 25%
Neutral 25%
Disagree 12.5%
Strongly Disagree 12.5%
2012 new residents responded to, “I am able to express safety concerns to attending and/or staff.”
Responses:
Yes 57.5%
Somewhat 37.5%
No 5%
What do these responses mean?How do you interpret that:
• over 60% new residents are neutral about or disagree that “making errors is inevitable” and
• 75% are neutral or agree that “competent physicians do not make medical errors that lead to patient harm”?
Are their expectations realistic?
Have they internalized a lack of tolerance for errors?
Do they think that only incompetent physicians make errors?
….Or that errors are not to be talked about?
Other interpretations?
How will knowing about these
responses influence your teaching and interaction with residents?
Humanize making mistakes: Describe an error you made and what you learned
Begins rounds with a “Safety Moment”
Ask the four questions to determine if experience is a safety eventWas the procedure, treatment, or test
appropriate and warranted based on nationally recognized standards of care?
Was the complication a known risk, was it anticipated, and did the care team plan ahead to take steps to prevent it?
Was the complication identified in a timely manner (i.e. at the time of occurrence)?
Was the complication treated according to the standard of care and in a timely manner?
Healthcare Performance Improvement, LLC www.hpiresults.com
Questions to determine if experience is a safety event
If answers to ALL four questions are YES, the event is a known complication and not a Safety Event
If the answer to ANY question is NO, the event is a Safety Event
Healthcare Performance Improvement, LLC www.hpiresults.com
Hospital Partners Safety/Risk Management initiatives
Spectrum Health https://insite.spectrum-health.org/Safety-Central/Pages/Home.aspx
Click on “Safety Central”
Helen DeVos Childrens Hospital http://www.helendevoschildrens.org/qualityandsafety
St Mary’s Health Centershttp://www.mercyhealthsaintmarys.com/saint-marys-quality-safety
Helpful resources
AHRQ Patient Safety Network http://psnet.ahrq.gov/primerHome.aspx
GRMEP Education Specialist [email protected]
GRMEP GME Advisor [email protected]
