Success of a Resident-Led Safety Council: A Model for Satisfying CLER Pathways to Excellence Patient Safety Goals

Cohen, Sarah P.; Pelletier, Jonathan; Ladd, Jennifer; Feeney, Colby; Parente, Victoria; Shaikh, Sophie K.

doi:10.4300/jgme-d-18-00459.1

Cited by 3 publications

(5 citation statements)

References 6 publications

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“…This type of resident-driven quality and safety initiative has been discussed rarely and only in the pediatric residency education literature, where it has shown to be effective and sustainable. [14][15][16] Described as resident-led "safety councils" 14 and "morbidity and mortality conferences," 15 the meetings were created to bolster resident participation in departmental safety efforts and expose them to important patient safety and QI concepts and principles. This study's effort in creating resident safety huddles falls in line with these previously described examples and is the first report of such an intervention within a surgical residency.…”

Section: Discussionmentioning

confidence: 99%

“…With this foundation in place, our residents could approach their everyday hospital interactions critically and during the resident safety huddle had the opportunity to apply thought processes and tools that actively improved patient care delivery. This type of resident‐driven quality and safety initiative has been discussed rarely and only in the pediatric residency education literature, where it has shown to be effective and sustainable 14–16 . Described as resident‐led “safety councils” 14 and “morbidity and mortality conferences,” 15 the meetings were created to bolster resident participation in departmental safety efforts and expose them to important patient safety and QI concepts and principles.…”

Section: Discussionmentioning

confidence: 99%

“…Using these principles and frameworks, our department developed an educational curriculum and quality improvement initiative in the interest of promoting and fostering a culture of safety among our surgical residents. Similar resident‐focused initiatives centered around open dialogue called “resident safety councils” have previously been described in the pediatrics literature, where they were shown to be highly effective 14–16 . Therefore, the objective of this article is to describe our approach and measures taken to promote a safety culture, identify any barriers to incident reporting, and to discuss effective strategies and early lessons learned during this initiative.…”

Section: Introductionmentioning

confidence: 90%

“…Similar resident-focused initiatives centered around open dialogue called "resident safety councils" have previously been described in the pediatrics literature, where they were shown to be highly effective. [14][15][16] Therefore, the objective of this article is to describe our approach and measures taken to promote a safety culture, identify any barriers to incident reporting, and to discuss effective strategies and early lessons learned during this initiative.…”

Section: Introductionmentioning

confidence: 99%

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Resident Safety Huddles: Our Department's Experience in Improving Safety Culture

et al. 2021

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Objective/Hypothesis: Our department sought to develop a quality improvement initiative in the interest of promoting resident involvement within the departmental safety culture. Specifically, we aimed to identify any barriers to incident reporting among residents and to create an approach to rectify this problem.Study Design: Patient Safety/Quality Improvement. Methods: This is a descriptive, qualitative study taking place at a large teaching hospital. A brief survey was administered to all Otorhinolaryngology residents and based on feedback a two-pronged approach to creating a patient safety and quality improvement curriculum was undertaken. This entailed implementation of 1) a formalized online curriculum and 2) a resident-driven forum for discussion of safety concerns termed a "Resident Safety Huddle."Results: The survey identified three main barriers to incident reporting among residents, including increased workload, the punitive nature of the system, and fear of retribution. During the study period, the residents completed the curriculum required to obtain the Institute for Healthcare Improvement Basic Certificate of Quality and Safety and participated in 10 Resident Safety Huddles. Each huddle was dedicated to discussion of a unique safety concern and frequently led to sustainable solutions. After implementation of this curriculum, an increase in the number of safety events reported by residents was recognized.Conclusions: In building an educational foundation for incident reporting and further bolstering it with a resident-driven forum for discussion of safety concerns, we were able to achieve a recognizable and meaningful impact on our residents and the greater departmental safety culture.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

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Resident Safety Huddles: Our Department's Experience in Improving Safety Culture

et al. 2021

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“…In the following paragraph, we lay out a model for a resident safety council drawing on experiences published by several institutions in the United States and Canada [42,46]. Similar councils have since demonstrated measurable improvements in improvements in patient safety goals [47,48].…”

Section: Role Of Residents In Improving Their Work Systemmentioning

confidence: 99%

Human Factors and Ergonomics in Health Care and Patient Safety from the Perspective of Medical Residents

Carayon

Kleinschmidt

Hose

et al. 2020

Textbook of Patient Safety and Clinical Risk Management

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It is critical to understand, analyze and improve the work system of medical residents in order to support the care processes in which they are involved, as well as their educational processes. The discipline of human factors (or ergonomics) (HFE) provides systems concepts and methods to improve the multi-faceted work system of medical residents and, therefore, care processes and educational processes, and outcomes for both patients and residents. In this chapter, we apply the SEIPS (Systems Engineering Initiative for Patient Safety) model to the work system of residents, and use it to explain how the outcomes of patient safety and medical resident well-being are related. Various challenges need to be addressed in order to improve residents’ work system. In particular, it is critical to adopt a systems approach that can optimize multiple outcomes for a range of stakeholders. In line with the participatory ergonomics approach, we contend that residents have a critical role to play in improving their work system; we describe various ways that this can be accomplished.

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Prevalence and Characteristics of House Staff Quality and Safety Councils Within Clinical Learning Environments

Meo

DiVeronica

Jaffe

et al. 2021

American Journal of Medical Quality

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House Staff Quality and Safety Councils (HQSCs) are relatively new multispecialty groups led by residents and fellows that focus on quality and safety activities at their training site. The authors sought to estimate the prevalence of HQSCs, describe their common characteristics and determine any perceived impacts. A national survey was conducted with Designated Institutional Officers (DIO) of graduate medical education programs in 2019. For institutions with an HQSC, a second survey was sent to program leaders to obtain additional details. Responses were obtained from 204 DIOs, 47% of whom currently have an HQSC. Forty-five percent of sites provided details about HQSC membership, leadership, funding, activities/initiatives, facilitators, and barriers. The majority reported positive program outcomes. This study found that HQSCs are common and share key characteristics, yet at the same time have many unique features tailored to their clinical learning environment. Participants report positive outcomes associated with these groups.

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Success of a Resident-Led Safety Council: A Model for Satisfying CLER Pathways to Excellence Patient Safety Goals

Cited by 3 publications

References 6 publications

Resident Safety Huddles: Our Department's Experience in Improving Safety Culture

Resident Safety Huddles: Our Department's Experience in Improving Safety Culture

Human Factors and Ergonomics in Health Care and Patient Safety from the Perspective of Medical Residents

Prevalence and Characteristics of House Staff Quality and Safety Councils Within Clinical Learning Environments

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