ABMS® Patient Safety ProgramsABMS® Patient Safety Improvement Program

ABMS® Patient Safety FoundationsABMS® Quality Improvement in Practice

ABMS Patient Safety Programs

» ABMS has developed three online programs that provide leading edge content in patient safety and quality improvement (QI)• ABMS® Patient Safety Improvement Program

Comprehensive program providing patient safety curriculum, quality improvement fundamentals, performance improvement activities

• ABMS® Patient Safety Foundations Foundation level curriculum in key patient safety areas

• ABMS® Quality Improvement in Practice Quality improvement fundamentals and performance

improvement activities

» Programs are approved for AMA PRA Category 1 credit» Programs satisfy ABMS Maintenance of Certification®

(ABMS MOC) requirements based on individual Member Board criteria

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Goals and Objectives

» The ABMS Patient Safety programs enable healthcare professionals to1. Learn essential knowledge, skills and attitudes about patient

safety2. Apply the principles to improve care in their own clinical

environments3. Measure individual progress on changes made and provide

feedback4. Integrate acquired QI skills into local and national patient

safety activities

» Programs originally developed to satisfy ABMS MOC requirements, but are valuable resources for all healthcare providers regardless of MOC engagement or status

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ABMS program development; alignment with other initiatives

» ABMS program development • Based on current research and best practices• Guided by a blue ribbon advisory panel• Developed by subject matter experts in patient safety and

quality improvement• Use evidence-based clinical performance measures

» ABMS programs align with major initiatives• Joint Commission National Safety Goals • World Health Organization Patient Safety Solutions

» ABMS programs address all six ABMS/ACGME competencies• Medical Knowledge, Professionalism, Communication &

Interpersonal Skills, Patient Care, Systems-Based Practice, Practice-Based Learning and Improvement

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Program Highlights

» ABMS programs• Engage the learner using dynamic, Web-based technologies• Are self-contained with resource documents to guide through all

exercises and activities• Include documents, sample forms, transcripts and references that

may be printed and retained for future reference• Adapt to different learning styles

» ABMS programs are applicable to• Clinicians, staff, leadership and administrators across the

healthcare continuum • All physician profiles, including

Primary Care, Surgery/Proceduralist, Consultative, Non-Practicing

• All clinical environments, including In-patient, ambulatory, office practice

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Program modules and options

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Four key modules provide specific training and content

Three programs use different combinations of modules

Apply to any discipline or setting:· Hand Hygiene· Medication Lists· Allergy Lists· Critical Test Results· Correct Person/ Site· Safer Prescriptions· Discharge CommunicationCase simulations available

Four sections:· Epidemiology of Safety and

Harm· Systems Approach to

Improving Patient Safety· Communication· Safety Culture

Includes pre- and post- knowledge self-assessment

Patient safety curriculum

Tools and resources to learn and apply QI methods to improve clinical performance:

· Planning tools· Assessment tools· Evaluation tools

Includes pre- and post- knowledge self-assessment

Quality improvement fundamentals

Real cases illustrate common patient safety errors; e.g.:

· Delayed diagnosis· Medication overdose· Wrong patient/ site· Communication failures· System failures

Patient safety scenarios Improvement activities

ABMS® Patient Safety Improvement Program

(20 AMA PRA Category 1 Credits)

Quality improvement fundamentals

Patient safety scenario (choose 1)

Patient safety curriculum (4 sections)

Improvement activity (choose 1)

ABMS® Patient Safety Foundations

(2.5 AMA PRA Category 1 Credits)

Patient safety curriculum4 sections

ABMS® Quality Improvement In Practice

(20 AMA PRA Category 1 Credits)

Quality improvement fundamentals

Improvement activity (choose 1)

Program contents, CME and ABMS MOC

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1 - Based on AMA PRA Category 1 Guidelines for Performance Improvement Activities2 - Based on AMA PRA Category 1 Guidelines for Enduring Activities3 - Based on individual ABMS Member Board requirements

ABMS®

Patient Safety Portfolio

ABMS® Patient Safety

Improvement Program

ABMS® Patient Safety

Foundations

ABMS® Quality

Improvement in

Practice

Content Included      

Core Curriculum Sections (Epidemiology, Systems,

Communication, Safety Culture)  

Quality Improvement Fundamentals  

Performance Improvement Activities  

AMA PRA Category 1 Credit      

Practicing Physicians 20 1 2.5 2 20 1

Non Practicing Physicians 7.5 2 2.5 2 3 2

ABMS® Maintenance of Certification (ABMS MOC)

Part IV 3

Part II 3Part II 3 Part IV 3

Improvement activities

» Clinicians with direct patient care choose from:1. Hand Hygiene2. Medication Reconciliation3. Allergy List4. Critical Test Results Communication5. Correct Site / Patient / Procedure6. Safer Prescription and Order Writing7. Discharge Planning

» Clinicians not providing direct patient care (e.g. retired; administrators; researchers) choose from:

1. Safer Prescription and Order Writing (non-practicing version)2. Critical Test Results Communication (non-practicing version)

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Improvement activity structure

» Improvement activities include1. Case presentation (online)

2. Initial measurement using de-identified practice data (online) Results benchmarked against national standards Immediate feedback provided

3. Development/ implementation of improvement activity in the clinician’s practice setting (offline)

4. Re-measurement using de-identified practice data (online) Results benchmarked against national standards Immediate feedback provided

» All instructions and resources to develop and implement improvement activities are included

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Patient Safety Improvement Program

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Thank You.

For more information, please contact:

HealthStream(800) 521-0574

customer.service@healthstream.com

ABMS(312) 436-2600

products@abms.org

Appendices

» About ABMS» About ABMS Maintenance of Certification

(ABMS MOC) » ABMS Patient Safety Programs Appendix

• Curriculum Objectives• Improvement Activity Objectives• Sample Errors Illustrated

» Contributors• Advisory Committee• Content Development Team Leaders

About American Board of Medical Specialties (ABMS)

» ABMS…• is a not-for-profit organization comprising 24 medical

specialty Member Boards (www.abms.org) • establishes standards for physician specialty

certification and Maintenance of Certification (ABMS MOC)

• communicates information about these standards to support the public’s quest for safe, high-quality healthcare.

• serves as a unique and highly influential voice in the healthcare industry, bringing focus and rigor to issues involving specialization and certification in medicine

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What is ABMS Maintenance of Certification (ABMS MOC)?

» ABMS MOC is a process designed to document that physician specialists, certified by one of the Member Boards of ABMS, maintain the necessary competencies to provide quality patient care.

» ABMS MOC assures that the physician is committed to lifelong learning and competency in a specialty and/or subspecialty using a process that is designed to keep certification continuous.

Competency Mapping

ABMS/ACGME Competency Covered in ABMS Patient Safety Improvement Program

1. Medical Knowledge Yes 5 multiple choice knowledge assessments in patient safety curriculum and QI fundamentals

2. Professionalism Yes Throughout curriculum and improvement activities

3. Communication & Interpersonal Skills

Yes Patient safety curriculum, critical test results communication and discharge planning

4. Patient Care Yes Overall program objective to improve patient care

5. Systems-Based Practice Yes Systems curriculum and improvement activities

6. Practice-Based Learning and Improvement

Yes Participation in QI activity in practice

Patient Safety Improvement Program Appendix

» Curriculum Objectives» Improvement Activities by Physician Profile» Improvement Activity Objectives» Sample Errors Illustrated

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Patient Safety Curriculum Objectives

1. Epidemiology of Safety and Harm• Identify issues creating a national focus on patient

safety• List common types, causes of adverse events• Define a system for classifying errors

2. Systems Approach to Patient Safety• Define a system• Identify workarounds and their effects on system• Identify healthcare system layers that impact care• Distinguish between error mitigation and error recovery

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Patient Safety Curriculum Objectives

3. Communication• Recognize role that communication plays in patient safety• Identify barriers that affect patient/practitioner

communication• Apply steps for disclosure of adverse events to patients• Improve information transfer from practitioner to

practitioner

4. Safety Culture• Identify safety culture elements (beliefs, attitudes, values,

risk and safety)• Identify the value of learning in creating, sustaining

patient safety• Recognize relationship between reporting and learning

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Improvement Activity by Physician Profile

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Improvement Activity Objectives

» Hand Hygiene• Ensure use of appropriate hand hygiene for every patient encounter.

» Medication reconciliation• Ensure that accurate and complete information

on all patient medications is updated at every encounter.

» Allergy list• Ensure that accurate and complete information

on patient allergies is updated at every encounter.

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Improvement Activity Objectives

» Critical Test Results Communication • Improve the timely and effective communication

of critical test results, including: Reporting of information by specialties that provide

results Tracking and follow-up of results by specialties that

receive them

» Correct Person / Site / Procedure• Implement key changes to improve

communication and prevent surgical errors in person, site, or procedure

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Improvement Activity Objectives

» Safer Prescriptions and Medication Orders• Avoid the use of terms from the Joint

Commission’s Official “Do Not Use” List when writing prescriptions or medication orders

» Discharge Planning• Improve provider-patient communication at the

time of discharge from the hospital

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Sample Errors Illustrated in ScenariosScenario #1

» “Sylvia”• 42-year-old female presented to the

emergency department with a two day history of headache, neck pain, and photophobia

» Errors illustrated:• HIV testing without informed consent• Delayed diagnosis• Drug prescribed despite known allergy• Wrong medication dosage• Lack of a robust system for lab result follow up

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Sample Errors Illustrated in ScenariosScenario #2

» “Allison”• 2-year old with a history of prematurity,

chronic lung disease and asthma, and congestive heart failure after Tetralogy of Fallot Repair

» Errors illustrated:• Medication overdose• Lack of computerized physician order entry to

alert the error at initial order• Shortage of trained personnel• Computer system failure (technology)

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Sample Errors Illustrated in ScenariosScenario #3

» “Joan Morris”• 67-year-old female admitted to the

interventional radiology service for cerebral angiography

» Errors illustrated:• Wrong patient• Communication failures• Technology (computer) incompatibility between

units• Flawed informed consent process

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Sample Errors Illustrated in ScenariosScenario #4

» “Ms. Sinclair”• 30-year-old woman notices an abnormality on

a monthly self-breast exam

» Errors illustrated:• Abnormal test report delay• Wrong site surgery• No tumor board presentation• Communication failures• Inadequate test reporting systems and wrong

site surgery prevention systems

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Program Development

» Advisory Committee of Patient Safety subject matter experts Peter B. Angood, MD Kerm Henriksen, PhDJames P. Bagian, MD, PE John Hickner, MD, MScPaul Barach, MD, MPH Lucian Leape, MDDavid W. Bates, MD, MSC Eric Marks, MDEric Coleman, MD, MPH Marlene Miller, MD, MScDavid M. Gaba, MD Niraj Sehgal, MD, MPHPaula Griswold, MS Ajit K. Sachdeva, MD

» Content development teams led by curriculum and QI subject matter expertsCarole M. Lannon, MD, MPH Julie K. Johnson, MSPH, PhD

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