Patient Safety Matters

1. Patient Safety Matters Matters Challenges and Opportunities How we see and deal with these matters And why are others Interested in our work? AHRQ Resource Center 2006 11th European Forum 2006. Prague. WONCA San Antonio 2005

2. We are about Placing Patient Safety at the of Medical Education and Practice

3. CONTENT OF THIS AND THE OTHER THREE PRESENTATIONS • 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 Covered in the first presentations Covered in this presentation

4. Our approach to lightening the Burden • Education/training • Current Situation • Our Approach • Our Aspiration Singh: April 2005

5. Currently: 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 Singh: April 2005

6. Calls for Patient Safety: • 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” Singh: April 2005

7. Our Approach • Education/training Singh: April 2005

8. 3 2 1 PG Curriculum Pre-Doc (UG) Curriculum Medical Practices 3 2 1 Curriculum Development Singh: April 2005

9. Patient Safety Training Curriculum Design and Rationale Patient Safety through the ACGME Prism CompetenciesSafety Objectives 1. Improve team building skills 1. Patient Care 2. Reduce inappropriate prescribing (esp. with geriatric patients) 2. Medical Knowledge Calls for 3. Encourage and facilitate self-evaluation to instill a culture of safety 3. Practice-Based Learning 4) Communication Skills 4. Enhance communication skills with patients/families/colleagues 5) Professionalism 5. Improve patient safety ethics Achieved through didactic, experiential, and evaluative components 6) System-Based Practice 6. Analyze system components and address system problems to improve safety This work is supported by US Federal Funds Singh: April 2002

10. Emotionally, Intellectually and physically BUT Excluding the EGO i.e. HALO! It is important to be aware of: “Tell me and I will forget Show me and I may remember Involve me and I will understand” “See one Do one Teach one” AVOID this Hazard

11. Communication Knowledge Professionalism Patient Care Practice Based Learning System Based Practice The Six ACGME Core Competencies For accreditation, ACGME will require documentation of residents’ performance in these areas, not just attendance ! Safety Transcends all Competencies Singh 07

12. Our Aspiration • Education/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

13. About 2 trillion Patient Safety Education and Training are Likely to provide the biggest FOR