working together-learning together: improving workforce readiness professor merrilyn walton
TRANSCRIPT
Working together-Learning Working together-Learning together: Improving workforce together: Improving workforce readinessreadiness
Merrilyn Walton Merrilyn Walton Professor of Medical EducationProfessor of Medical EducationSydney School of Public HealthSydney School of Public Health
What does working together- learning together mean?
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Deliver patient centred care
Active member of multidisciplinaryteams
Report and learn from errors
Apply evidenced based health care
Ethical practice
Use quality improvement approaches
Use information technology
Competent practitioners New knowledge & skills required
Partnerships with patients Partnerships with patients & carers& carers
TeamworkTeamwork
Risk communicationRisk communication
Data collectionData collection
Adverse eventsAdverse events
Professional responsibilityProfessional responsibility
Professional accountabilityProfessional accountability
Is professional knowledge enough ?
Being prepared for safe practice
Why do our professionals graduate unprepared for work?
Some observations about current learning in the workplace
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How is the NPSEF structured?
3 Learning Domains in each Learning Topic
Communicating effectively
Using evidence
Adverse events
Working safelyBeing ethical Teaching &
Learning
7 Learning Categories
22 Learning Topics
Specific issues
Knowledge - Skills - Behaviours
Underpinning/applied knowledge – Performance elements
What preparation should professionals have?
What preparation should professionals have?
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Patient centred learning principles
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Patient centred principles
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How learners learn safely
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The educational conceptual frameworkDavis & Dixon
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Usually achieved in well designed
programs
Much more difficult to achieve
Minimising harm to patients
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AttitudesPre-contemplation
Adverse events are preventable
KnowledgeContemplation
Skill to assess errors, how to change practice & systems
Health practitioners change their system and implement changes on permanent basis
Teaching peers, supervisors, trainees & patients
Knowledge about how to prevent mishaps
When all patients receive treatment without AEs-
SocietalNorms/Maintenance
Patient experienceOutcome of action
BehaviourAction
SkillsPreparation
Preparing health professionals for work requires:-
We need to:
Resources & Web sites
› Runciman B, Merry A, Walton M Safety and Ethics in Health Care: A Guide to getting it Right, Ashgate , 2007.
› National Patient Safety Education Framework
http://www.health.gov.au/internet/safety/publishing.nsf/Content/C06811AD746228E9CA2571C600835DBB/$File/framework0705.pdf
› Australian Curriculum Framework for Junior Doctors
http://www.cpmec.org.au/curriculum/index.cfm
› The Patient Safety Education Project (PSEPTM) ( USA)
http://www.northwestern.edu/aging/projects.htm#psep
› WHO Patient Safety Curriculum Guide for Medical Schools
http://www.who.int/patientsafety/activities/technical/medical_curriculum/en
› Health Professionals for a new century: transforming education to strengthen health systems in an interdependent world
http://download.thelancet.com/pdfs/journals/lancet/PIIS0140673610618545.pdf?id=e16241398b8eb460:3bb166fc:12db655013c:-2841295848133237