The CLER Pursuing Excellence Pathway Leaders Collaborative: Enhancing Resident and Fellow Engagement in Patient Safety

Passiment, Morgan; Wagner, Robin; Newton, Robin C.; Weiss, Kevin B.

doi:10.4300/jgme-d-19-00629.1

Cited by 4 publications

(14 citation statements)

References 3 publications

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“…The potential benefits of an orthopedic collaborative match the recommendations described by Hogan et al [6]. Since 2011, models for collaboratives within other fields of medicine demonstrated the utility of collaboration [1,4,12,[14][15][16]. Reported benefits of collaboratives include improved scholarly activity, improved physician wellness, and increased patient safety [17][18][19][20].…”

Section: Introductionmentioning

confidence: 60%

Benefits of an Orthopedic Education Research Collaborative: An Innovative Approach

Levitt¹,

Paul²,

Vatsia³

et al. 2023

Cureus

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BackgroundGraduate Medical Education (GME) research in orthopedic surgery is an important but underrepresented subject in the medical literature. It was unknown if orthopedic residency leaders were interested in a surgical education research collaborative (orthopedic collaborative). The objectives of this study were to assess the potential benefit of an orthopedic collaborative from orthopedic residency leaders and investigate the factors associated with the support of a research collaborative within a surgical subspecialty. MethodologyAn anonymous 19-question survey-based study was distributed through REDCap (Nashville, TN, USA) to orthopedic residency leaders in the United States, from July to October 2020. The main outcome was perceived benefit. Additional aspects included program characteristics, challenges in performing resident education research, and organizational issues such as authorship, frequency of study requests, and governance. ResultsAlmost all orthopedic faculty leadership (99%, 73/74) stated that resident education and faculty development research projects would benefit from an orthopedic education research collaborative. In comparison to unsupportive respondents, younger age (P = 0.006), 15 or fewer years in practice (P = 0.04), and having 0 to 100 peer-reviewed publications (P = 0.047) were associated with support for an orthopedic collaborative. ConclusionsChallenges related to survey-based study quality and generalizability at single institutions can benefit from multi-institutional collaboration to develop high-quality studies that capture a representative sample to support orthopedic surgery program development.

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Section: Introductionmentioning

confidence: 60%

Benefits of an Orthopedic Education Research Collaborative: An Innovative Approach

Levitt¹,

Paul²,

Vatsia³

et al. 2023

Cureus

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“…19 The current initiative builds on experience gained from a previous collaborative and confirms the feasibility of including first-year residents and fellows in a PSEI from a wide range of institutions with a variety of program types. 11 The current collaborative demonstrates an improvement in PSEI quality.…”

Section: Comparison Of Results With Findings From Other Publicationsmentioning

confidence: 80%

“…Tools shared in the collaborative and used by participating sites included the RCA 2 framework, cause-and-effect diagrams, the strength of actions hierarchy, and the SSAT. Eight of 9 cohort I sites completing the first PExI collaborative volunteered to participate in the second collaborative 11 . This is perhaps the strongest evidence for sustainability.…”

Section: Discussionmentioning

confidence: 99%

“…The SSAT scores for PSEIs were higher for cohort II than cohort I sites, even though cohort I sites had participated in a previous collaborative. 11 We believe that the difference in PSEI quality may be explained by lessons learned by PExI core faculty during the first collaborative and implemented during the second collaborative. These lessons may benefit future collaboratives or institutions that endeavor to include more residents and fellows in PSEIs and improve PSEI quality.…”

Section: Differences In Outcomes Between Cohort I and Cohort Ii And B...mentioning

confidence: 96%

“…The ACGME developed the Pursuing Excellence Initiative (PExI) Pathway Leaders Patient Safety Collaborative to address this gap. 11 The PExI used a conceptual framework developed by the National Collaborative for Improving the Clinical Learning Environment (NCICLE) to engage new clinicians in organizations' patient safety systems. 12 A key NCICLE concept was that new clinicians would engage and assimilate into the CLE patient safety system through: (1) understanding a culture of safety; (2) reporting patient safety issues; (3) participating in the analysis of patient safety events; and (4) recognizing how the CLE translates reports into improvements.…”

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confidence: 99%

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The Pursuing Excellence Collaborative: Engaging First-Year Residents and Fellows in Patient Safety Event Investigations

et al. 2023

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Objectives Resident and fellow engagement in patient safety event investigations (PSEIs) can benefit both the clinical learning environment’s ability to improve patient care and learners’ problem-solving skills. The goals of this collaborative were to increase resident and fellow participation in these investigations and improve PSEI quality. Methods This collaborative involved 18 sites—8 sites that had participated in a similar previous collaborative (cohort I) and 10 “new” sites (cohort II). The 18-month collaborative included face-to-face and virtual learning sessions, check-ins, and coaching calls. A validated assessment tool measured PSEI quality, and sites tracked the percentage of first-year residents and fellows included in a PSEI. Results Sixteen of the 18 sites completed the 18-month collaborative. Baseline was no first-year resident or fellow participation in a PSEI. Among these 16 clinical learning environments, 1237 early learners participated in a PSEI by the end of the collaborative. Six of these 16 sites (38%) reached the goal of 100% participation of first-year residents and fellows. As a percentage of total first-year residents and fellows, larger institutions had less resident and fellow participation. Six of the 9 cohort II sites submitted PSEIs for independent review at 6 months and again at the end of the collaborative. The PSEI quality scores increased from 5.9 ± 1.8 to 8.2 ± 0.8 (P ≤ 0.05). Conclusions It is possible to include all residents and fellows in PSEIs. Patient safety event investigation quality can improve through resident and fellow participation, use of standardized processes during training and investigations, and review of PSEI quality scores with a validated tool.

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Managing the Culture and Teaching of Patient Safety and Quality Improvement in Psychiatry Residency Training

Hobbs

Young

Kreider

et al. 2022

Graduate Medical Education in Psychiatry

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The CLER Pursuing Excellence Pathway Leaders Collaborative: Enhancing Resident and Fellow Engagement in Patient Safety

Cited by 4 publications

References 3 publications

Benefits of an Orthopedic Education Research Collaborative: An Innovative Approach

Benefits of an Orthopedic Education Research Collaborative: An Innovative Approach

The Pursuing Excellence Collaborative: Engaging First-Year Residents and Fellows in Patient Safety Event Investigations

Managing the Culture and Teaching of Patient Safety and Quality Improvement in Psychiatry Residency Training

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