Multidisciplinary Simulation Activity Effectively Prepares Residents for Participation in Patient Safety Activities

Joshua J. Weis, Carol L. Croft, Ravi Bhoja, Joo H. Lee, Daniel J. Scott

Research output: Contribution to journalArticle

Abstract

Purpose: In 2017, The Accreditation Council for Graduate Medical Education (ACGME) issued Common Program Requirements that stipulated residents must participate in real or simulated interprofessional patient safety activities, such as root cause analyses (RCA). The requirements also stated that residents should have the opportunity to participate in the disclosure of patient safety events. Our institution supports a large graduate medical education (GME) cohort with approximately 1400 GME learners in more than 100 ACGME programs. Knowing that our university hospital system conducts approximately 15 RCA's per year, our GME leadership charged the Dean of Simulation with developing a pilot simulation activity that would satisfy these educational needs. Methods: Four departments (Anesthesia, Emergency Medicine, OB/GYN, and Surgery) assigned a total of 39 learners to participate in the pilot simulation. Learners were divided into groups of 5 to 8 participants representing at least 3 departments. Before the simulation, learners were asked to complete a preactivity questionnaire rating their comfort with the learning objectives and a 10-question multiple choice quiz assessing knowledge of RCA principles. The simulation was 1-hour long and consisted of 2 parts. First, learners participated in a high-fidelity, mannequin-based resuscitation scenario that was scripted to include systems barriers to effective resuscitation. Second, our University Hospital's Vice President of Quality and Safety led participants in a simulated RCA analyzing the systems issues encountered. Finally, all learners completed a postactivity questionnaire and quiz. Preactivity and postactivity data were compared with repeated measures t-tests with p < 0.05 considered significant. Results: Complete data were available for 38 learners. We observed significant improvements in quiz performance and learners’ self-reported abilities to perform tasks related to patient safety and RCA. The simulation activity did not affect learners’ anxiety regarding potential participation in an RCA. Conclusions: Our data indicate that a 1-hour, introductory-level simulation improved residents’ confidence and knowledge related patient safety activities. This training format is efficient, effective, and consistent with the expectations of the new ACGME Common Program Requirement.

Original languageEnglish (US)
JournalJournal of Surgical Education
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Graduate Medical Education
Root Cause Analysis
Patient Safety
resident
graduate
simulation
participation
Accreditation
quiz
accreditation
cause
education
Resuscitation
Hospital Anesthesia Department
Manikins
Aptitude
Emergency Medicine
hospital system
Disclosure
questionnaire

Keywords

  • graduate medical education
  • Interpersonal and Communication Skills
  • Patient Care
  • patient safety
  • Practice-Based Learning and Improvement
  • root cause analysis
  • simulation

ASJC Scopus subject areas

  • Surgery
  • Education

Cite this

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title = "Multidisciplinary Simulation Activity Effectively Prepares Residents for Participation in Patient Safety Activities",
abstract = "Purpose: In 2017, The Accreditation Council for Graduate Medical Education (ACGME) issued Common Program Requirements that stipulated residents must participate in real or simulated interprofessional patient safety activities, such as root cause analyses (RCA). The requirements also stated that residents should have the opportunity to participate in the disclosure of patient safety events. Our institution supports a large graduate medical education (GME) cohort with approximately 1400 GME learners in more than 100 ACGME programs. Knowing that our university hospital system conducts approximately 15 RCA's per year, our GME leadership charged the Dean of Simulation with developing a pilot simulation activity that would satisfy these educational needs. Methods: Four departments (Anesthesia, Emergency Medicine, OB/GYN, and Surgery) assigned a total of 39 learners to participate in the pilot simulation. Learners were divided into groups of 5 to 8 participants representing at least 3 departments. Before the simulation, learners were asked to complete a preactivity questionnaire rating their comfort with the learning objectives and a 10-question multiple choice quiz assessing knowledge of RCA principles. The simulation was 1-hour long and consisted of 2 parts. First, learners participated in a high-fidelity, mannequin-based resuscitation scenario that was scripted to include systems barriers to effective resuscitation. Second, our University Hospital's Vice President of Quality and Safety led participants in a simulated RCA analyzing the systems issues encountered. Finally, all learners completed a postactivity questionnaire and quiz. Preactivity and postactivity data were compared with repeated measures t-tests with p < 0.05 considered significant. Results: Complete data were available for 38 learners. We observed significant improvements in quiz performance and learners’ self-reported abilities to perform tasks related to patient safety and RCA. The simulation activity did not affect learners’ anxiety regarding potential participation in an RCA. Conclusions: Our data indicate that a 1-hour, introductory-level simulation improved residents’ confidence and knowledge related patient safety activities. This training format is efficient, effective, and consistent with the expectations of the new ACGME Common Program Requirement.",
keywords = "graduate medical education, Interpersonal and Communication Skills, Patient Care, patient safety, Practice-Based Learning and Improvement, root cause analysis, simulation",
author = "Weis, {Joshua J.} and Croft, {Carol L.} and Ravi Bhoja and Lee, {Joo H.} and Scott, {Daniel J.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1016/j.jsurg.2019.07.015",
language = "English (US)",
journal = "Journal of Surgical Education",
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T1 - Multidisciplinary Simulation Activity Effectively Prepares Residents for Participation in Patient Safety Activities

AU - Weis, Joshua J.

AU - Croft, Carol L.

AU - Bhoja, Ravi

AU - Lee, Joo H.

AU - Scott, Daniel J.

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N2 - Purpose: In 2017, The Accreditation Council for Graduate Medical Education (ACGME) issued Common Program Requirements that stipulated residents must participate in real or simulated interprofessional patient safety activities, such as root cause analyses (RCA). The requirements also stated that residents should have the opportunity to participate in the disclosure of patient safety events. Our institution supports a large graduate medical education (GME) cohort with approximately 1400 GME learners in more than 100 ACGME programs. Knowing that our university hospital system conducts approximately 15 RCA's per year, our GME leadership charged the Dean of Simulation with developing a pilot simulation activity that would satisfy these educational needs. Methods: Four departments (Anesthesia, Emergency Medicine, OB/GYN, and Surgery) assigned a total of 39 learners to participate in the pilot simulation. Learners were divided into groups of 5 to 8 participants representing at least 3 departments. Before the simulation, learners were asked to complete a preactivity questionnaire rating their comfort with the learning objectives and a 10-question multiple choice quiz assessing knowledge of RCA principles. The simulation was 1-hour long and consisted of 2 parts. First, learners participated in a high-fidelity, mannequin-based resuscitation scenario that was scripted to include systems barriers to effective resuscitation. Second, our University Hospital's Vice President of Quality and Safety led participants in a simulated RCA analyzing the systems issues encountered. Finally, all learners completed a postactivity questionnaire and quiz. Preactivity and postactivity data were compared with repeated measures t-tests with p < 0.05 considered significant. Results: Complete data were available for 38 learners. We observed significant improvements in quiz performance and learners’ self-reported abilities to perform tasks related to patient safety and RCA. The simulation activity did not affect learners’ anxiety regarding potential participation in an RCA. Conclusions: Our data indicate that a 1-hour, introductory-level simulation improved residents’ confidence and knowledge related patient safety activities. This training format is efficient, effective, and consistent with the expectations of the new ACGME Common Program Requirement.

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KW - Practice-Based Learning and Improvement

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