Download - Patient Safety Matters
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Patient Safety Matters Matters
MattersMatters Challenges and Opportunities
2006
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?
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We are aboutWe are aboutPlacing Patient Safety at Placing Patient Safety at
the of Medical the of Medical EducationEducation
andandPracticePractice
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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
Co
ve
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in
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e f
irs
t p
res
en
tati
on
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Covered in this presentation
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Education/training
•Current Situation•Our Approach•Our Aspiration
Singh: April 2005
Our approach to lightening the Burden
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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
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• 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
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Our Approach•Education/training
Singh: April 2005
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Singh: April 2005
Curriculum Development
MedicalPractices
1
1
PGCurriculum
2
2
Pre-Doc(UG)
Curriculum
3
3
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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
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“Tell me and I will forget
Show me and I may remember
Involve me and I will understand”
Emotionally, Intellectually and physically
BUT
Excluding the EGOi.e. HALO!
It is important to be aware of:
“See oneDo one
Teach one”
AVOID this Hazard
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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
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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
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FOR
About 2 trillion
Patient Safety Education and Trainingare
Likely to provide the biggest