Patient Safety Matters

Patient Safety Matters Matters

MattersMatters Challenges and Opportunities

San Antonio 2005

11th European Forum 2006. Prague.

WONCAWONCAAHRQResource Center

How we see and deal with these matters And why are others Interested in our work?

We are aboutWe are aboutPlacing Patient Safety at Placing Patient Safety at

the of Medical the of Medical EducationEducation

andandPracticePractice

CONTENT OF THIS AND THE OTHER THREE CONTENT OF THIS AND THE OTHER THREE PRESENTATIONSPRESENTATIONS

•Our Mission, Driving principles, Premises, and Implications•The Burden of Lack of Safety on the Nation

•The Opportunity

•Our approach to lightening the Burden

Main Areas of our Activity

Education/training Safety Practice Enhancement

Covered in this presentation

Education/training

•Current Situation•Our Approach•Our Aspiration

Singh: April 2005

Our approach to lightening the Burden

Patient Safety and Medical Errors receive scant attention in most

Residency (US Post-graduate) and Pre-Doc (Under-graduate) curricula

Despite the fact that Patient Safety is an issue that transcends the desired

competencies

Currently:Currently:

Singh: April 2005

• In the US all programs are required to address Accreditation Council Graduate Medical Educations’s Six Core Competencies by 2006

• The UN WHO has launched the World Alliance for Patient Safety to advance the safety goal : “ First do no harm”

• UK Academy of Medical Royal Colleges places patient safety at the “heart of good medical practice”

Calls for Patient Safety:Calls for Patient Safety:

Singh: April 2005

Our Approach•Education/training

Singh: April 2005

Curriculum Development

MedicalPractices

PGCurriculum

Pre-Doc(UG)

Curriculum

Curriculum Design and RationaleCurriculum Design and Rationale

Competencies Safety Objectives1. Patient Care

2. Medical Knowledge

3. Practice-Based Learning

4) Communication Skills

5) Professionalism

6) System-Based Practice

Calls for

PatientSafetyTraining

Patient Safety through the ACGME Prism

Achieved through didactic, experiential,

and evaluative components

1. Improve team building skills

3. Encourage and facilitate self-evaluation to instill a culture of safety

2. Reduce inappropriate prescribing

(esp. with geriatric patients)

4. Enhance communication skills with patients/families/colleagues

5. Improve patient safety ethics

6. Analyze system components andaddress system problems to improve safety

Singh: April 2002

This work is supported by US Federal Funds

“Tell me and I will forget

Show me and I may remember

Involve me and I will understand”

Emotionally, Intellectually and physically

Excluding the EGOi.e. HALO!

It is important to be aware of:

“See oneDo one

Teach one”

AVOID this Hazard

The Six ACGME Core Competencies

Patient Care

ProfessionalismKnowledge

Communication

Practice Based

Learning

SystemBased

Practice

Singh 07

For accreditation, ACGME will require documentation of residents’ performance in these areas,

not just attendance !

Safety Transcends all Competencies

Our AspirationEducation/training

Transfer approach across all the domains

Those who work together must be trained together: Transdisciplinary

Roadmap Initiative

We have received About $1 million Fed support

About 2 trillion

Patient Safety Education and Trainingare

Likely to provide the biggest

Patient Safety Matters

Documents

Transcript of Patient Safety Matters

Patient safety

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Matters Patient Safety Matters Matters 2006 San Antonio 2005 11th European Forum 2006. Prague. WONCA AHRQ Resource Center How Does The Patient Safety.