VA Boston Healthcare System, Harvard Medical School, Boston, MA, USA.
VA Boston Healthcare System, Boston University School of Medicine, Boston, MA, USA.
Acad Psychiatry. 2023 Feb;47(1):53-58. doi: 10.1007/s40596-022-01671-8. Epub 2022 Jun 15.
Dissemination of patient safety data is key to understanding safety events and improving the quality of patient care. However, there is limited guidance on how psychiatry residency programs can create a supportive environment in which to disclose and discuss such information. The authors developed and piloted a resident-led Patient Safety Presentation process at an Accreditation Council for Graduate Medical Education-accredited psychiatry residency program, sharing patient safety data while enhancing residents' education and engagement in patient safety.
From September 2020 through February 2021, the authors convened a workgroup of psychiatry residents and faculty members to devise and conduct the presentation process. The process consisted of an introductory hour-long training of residents in patient safety concepts, followed a week later by the presentation by two psychiatry residents. The authors evaluated the pilot presentation process using pre- and post-presentation resident surveys.
The introductory training and the Patient Safety Presentation were included into the didactic schedules of all 32 program residents. Twenty (62.5%) and 17 (53.1%) residents completed the pre- and post-presentation surveys, respectively. Improvements were seen in residents' knowledge regarding the medical center's patient safety practices and perspectives on patient safety practices. On the post-presentation survey, all 17 residents reported overall satisfaction with the presentation.
The piloted Patient Safety Presentation process increased psychiatry residents' knowledge of and engagement in patient safety. The development and pilot of the presentation process serve as an illustrative case study for other residency programs that are aspiring to grow this aspect of their curriculum.
传播患者安全数据是了解安全事件和提高患者护理质量的关键。然而,关于精神病住院医师培训计划如何创造一个支持性的环境来披露和讨论此类信息,指导意见有限。作者在一个获得研究生医学教育认证委员会认证的精神病住院医师培训计划中开发并试行由住院医师主导的患者安全报告流程,分享患者安全数据,同时增强住院医师在患者安全方面的教育和参与度。
从 2020 年 9 月到 2021 年 2 月,作者召集了一组精神病住院医师和教员组成的工作组,设计并开展了报告流程。该流程包括对住院医师进行患者安全概念的一个小时介绍性培训,一周后由两名精神病住院医师进行报告。作者使用报告前后的住院医师调查评估试点报告流程。
介绍性培训和患者安全报告被纳入了所有 32 名计划住院医师的教学计划中。20 名(62.5%)和 17 名(53.1%)住院医师分别完成了报告前后的调查。住院医师对医疗中心患者安全实践的知识和对患者安全实践的看法都有所提高。在报告后的调查中,所有 17 名住院医师均表示对报告整体满意。
试点患者安全报告流程提高了精神病住院医师对患者安全的知识和参与度。报告流程的开发和试行可为其他渴望在课程中增加这一方面的住院医师培训计划提供一个具有启发性的案例研究。