![Page 1: GRMEP Education Group: Gayla Jewell, PhD, RNC, NP Linda Youmans, MA, LPC 2012](https://reader037.vdocuments.mx/reader037/viewer/2022110116/551a5d8c55034643688b4a0a/html5/thumbnails/1.jpg)
FACULTY DEVELOPMENTEDUCATION PEARL
~~~~~~~~
PROMOTING AN ATTITUDE OF SAFETY
IN RESIDENTS
GRMEP Education Group:
Gayla Jewell, PhD, RNC, NP
Linda Youmans, MA, LPC
2012
![Page 2: GRMEP Education Group: Gayla Jewell, PhD, RNC, NP Linda Youmans, MA, LPC 2012](https://reader037.vdocuments.mx/reader037/viewer/2022110116/551a5d8c55034643688b4a0a/html5/thumbnails/2.jpg)
What do New
Residents
think about
Safety Events?
![Page 3: GRMEP Education Group: Gayla Jewell, PhD, RNC, NP Linda Youmans, MA, LPC 2012](https://reader037.vdocuments.mx/reader037/viewer/2022110116/551a5d8c55034643688b4a0a/html5/thumbnails/3.jpg)
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%
![Page 4: GRMEP Education Group: Gayla Jewell, PhD, RNC, NP Linda Youmans, MA, LPC 2012](https://reader037.vdocuments.mx/reader037/viewer/2022110116/551a5d8c55034643688b4a0a/html5/thumbnails/4.jpg)
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%
![Page 5: GRMEP Education Group: Gayla Jewell, PhD, RNC, NP Linda Youmans, MA, LPC 2012](https://reader037.vdocuments.mx/reader037/viewer/2022110116/551a5d8c55034643688b4a0a/html5/thumbnails/5.jpg)
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%
![Page 6: GRMEP Education Group: Gayla Jewell, PhD, RNC, NP Linda Youmans, MA, LPC 2012](https://reader037.vdocuments.mx/reader037/viewer/2022110116/551a5d8c55034643688b4a0a/html5/thumbnails/6.jpg)
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?
![Page 7: GRMEP Education Group: Gayla Jewell, PhD, RNC, NP Linda Youmans, MA, LPC 2012](https://reader037.vdocuments.mx/reader037/viewer/2022110116/551a5d8c55034643688b4a0a/html5/thumbnails/7.jpg)
How will knowing about these
responses influence your teaching and interaction with residents?
![Page 8: GRMEP Education Group: Gayla Jewell, PhD, RNC, NP Linda Youmans, MA, LPC 2012](https://reader037.vdocuments.mx/reader037/viewer/2022110116/551a5d8c55034643688b4a0a/html5/thumbnails/8.jpg)
Humanize making mistakes: Describe an error you made and what you learned
Begins rounds with a “Safety Moment”
![Page 9: GRMEP Education Group: Gayla Jewell, PhD, RNC, NP Linda Youmans, MA, LPC 2012](https://reader037.vdocuments.mx/reader037/viewer/2022110116/551a5d8c55034643688b4a0a/html5/thumbnails/9.jpg)
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
![Page 10: GRMEP Education Group: Gayla Jewell, PhD, RNC, NP Linda Youmans, MA, LPC 2012](https://reader037.vdocuments.mx/reader037/viewer/2022110116/551a5d8c55034643688b4a0a/html5/thumbnails/10.jpg)
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
![Page 11: GRMEP Education Group: Gayla Jewell, PhD, RNC, NP Linda Youmans, MA, LPC 2012](https://reader037.vdocuments.mx/reader037/viewer/2022110116/551a5d8c55034643688b4a0a/html5/thumbnails/11.jpg)
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
![Page 12: GRMEP Education Group: Gayla Jewell, PhD, RNC, NP Linda Youmans, MA, LPC 2012](https://reader037.vdocuments.mx/reader037/viewer/2022110116/551a5d8c55034643688b4a0a/html5/thumbnails/12.jpg)
Helpful resources
AHRQ Patient Safety Network http://psnet.ahrq.gov/primerHome.aspx
GRMEP Education Specialist [email protected]
GRMEP GME Advisor [email protected]