Patient Safety Curriculum
Required Components
1
1. Complete the Epidemiology of Medical Error module and exam
2. Complete the Disclosure of Medical Error module and exam
3. Complete the Root Cause Analysis module and exam
3. Present at HFFM Patient Safety Grand Rounds
4. Submit a personal medical error case for publication on the AHRQ
M&M - and document these in your Patient Safety Portfolio
5. Serve on a hospital or clinic Quality or Performance Improvement
team and document your experience in your Patient Safety Portfolio
Patient Safety
Competencies, Goals and Objectives
Medical Knowledge
Goal: Enable residents to posses a working knowledge of the vocabulary of medical
error
Obectives: 1. Residents will be familiar with the terms patient safety, adverse events,
medical error, latent error 2. Residents wil be familiar with the epidemiology of medical
error in hospital and clinic settings
Implementation: Learning module : Epidemiology of Medical Error
Evaluation: MCQ test
Patient Care
Goal: Enable residents to assure optimal safety in the care of their patients
Objectives:1. Residents will provide effective "hand-offs" of patients when going on and
off call.2. Residents will utilize point of care references in confirming medication doses.
3. Residents will utilize proper patient identification, surgical site identification, and
"time-out" techniques during the performance of invasive procedures.
Implementation: Patient care transitions; high risk medication prescribing situations, and
invasive procedure performance on all rotations and continuity clinics.
Evaluation: Preceptor evaluation forms.
Interpersonal and Communication Skills
Goal: Residents are able to communicate in the healthcare workplace in a manner that
optimizes patient safety and enhances the physician-patient relationship.
Objectives:1. Residents will avoid the use of dangerous abbreviations and unlegible
handwriting in their charting and physician orders.2. Residents will effectively answer
patient and family questions about the appropriateness and safety of their diagnostic and
treatment plans.3. Residents will demonstrate the ability to apologize for their errors.
Implementation: All rotations and continuity clinics.
Evaluation: Preceptor evaluation forms.
Professionalism
Goal: Residents will uphold the highest ethical and professional standards while
interacting with patients, peers, families and risk mangement personnel when confronting
medical error.
Objectives:1. Residents will effectively disclose significant medical errors to their
patients.
Implementation: Learning module: Disclosing medical error to patients
Evaluation: MCQ module test, preceptor evaluation forms
Practice-Based Learning
Goal: Residents will be able to identify, reflect and learn from their own medical errors
and lapses in assuring optimal patient safety.
Objectives:1. Residents will present at least one personal case of medical error. 2.
Residents will submit a written scholarly analysis of the key learning points from their
medical error, and lead a scholarly discussion at a Patient Safety Grand Rounds.
Implementation: Patient Safety Grand Rounds, AHRQ M&M submission.
Evaluation: Portfolio; Grand Round presentation evaluation by attendees.
Systems-based Practice
Goal: Residents will be able to understand role of "Process" in medical errors and patient
safety systems.
Objectives:1. Residents report medical errors and opportunities to improve care
electronically to hospital and family medicine clinic performance improvement teams.2.
Residents serve on a Peformance Improvement or Quality Assurance team at the clinic or
hospital.
Implementation: Hospital rotations and continuity clinic. Learning modules: Root Cause
and Failure Mode Analysis.
Evaluation: Portfolio; MCQ test on modules.