Department of Medicine, Stony Brook University Hospital, Stony Brook, NY, USA.
Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Med Educ Online. 2021 Dec;26(1):1855699. doi: 10.1080/10872981.2020.1855699.
Resident-led councils represent an important initiative to involve trainees in patient safety, but little is known about how to create and sustain one of these councils. We evaluated the impact of a resident-led patient safety council in an internal medicine residency program. We assessed change in resident perception of safety issues over 3 years, scholarship activities, and behavioral choices to participate or lead patient safety activities after residency.The Stony Brook Internal Medicine Residency Program formed the Patient Safety and Quality Council (PSQC) in 2014, consisting of fifteen peer-nominated residents serving a three-year term. Surveys were distributed annually from 2014 to 2017 to measure resident council members' perception of patient safety. The number of safety-related abstract/publications were tracked during and one year after graduation. Additionally, graduates from the council were surveyed to assess the influence of the council on post residency involvement and leadership in safety activities.A total of 18 residents have participated in the council from 2014 to 2017. Overall, resident perception of safety culture improved. A total of 17/18 (94%) PSQC resident members demonstrated scholarship activities in safety during residency: 8/18 (44%) were engaged in an independent Quality Improvement (QI) project, 5/18 (27%) achieved a quality improvement leadership role post residency. A total of 15 of 18 (83%) recent graduates suggest that involvement with the safety council during residency fostered future involvement in patient safety.Implementation of a resident-led safety council can help to improve the safety culture, generate scholarly activities, and encourage continued participation in patient safety after graduation.
住院医师领导的委员会代表了一项让住院医师参与患者安全的重要举措，但对于如何创建和维持这样的委员会，我们知之甚少。我们评估了内科住院医师培训计划中住院医师领导的患者安全委员会的影响。我们评估了 3 年来住院医师对安全问题的看法、奖学金活动以及毕业后参与或领导患者安全活动的行为选择的变化。2014 年，石溪内科住院医师培训计划成立了患者安全和质量委员会（PSQC），由 15 名由同行提名的住院医师组成，任期三年。2014 年至 2017 年，每年都会分发调查，以衡量住院医师委员会成员对患者安全的看法。在毕业后一年跟踪了与安全相关的摘要/出版物的数量。此外，还对委员会的毕业生进行了调查，以评估委员会对毕业后参与和领导安全活动的影响。从 2014 年到 2017 年，共有 18 名住院医师参加了委员会。总体而言，住院医师对安全文化的看法有所改善。17/18（94%）PSQC 住院医师委员会成员在住院期间都有安全方面的学术活动：8/18（44%）参与了独立的质量改进（QI）项目，5/18（27%）在毕业后担任了质量改进领导角色。18 名最近的毕业生中有 15 名（83%）表示，在住院期间参与安全委员会有助于他们未来参与患者安全。实施住院医师领导的安全委员会可以帮助改善安全文化，产生学术活动，并鼓励毕业后继续参与患者安全。
