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APSS #17 – Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation Presents Ariana Longley, MPH, Chief Operating Officer, PSMF Expert Presenters: Steven Scheinman, MD: President and Dean, Geisinger Commonwealth School of Medicine; EVP and Chief Academic Officer, Geisinger Health System Margrit (Peggy) Shoemaker, MD, FACP: Assistant Chair of Internal Medicine, Geisinger Commonwealth School of Medicine; Chair, Geisinger Patient Safety Work Group

Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

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Page 1: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

APSS #17 – Patient Safety CurriculumPatient Safety Curriculum for All Health Professionals

May 8, 2019

Patient Safety Movement Foundation Presents

Ariana Longley, MPH, Chief Operating Officer, PSMF

Expert Presenters:Steven Scheinman, MD: President and Dean, Geisinger Commonwealth School of Medicine;

EVP and Chief Academic Officer, Geisinger Health SystemMargrit (Peggy) Shoemaker, MD, FACP: Assistant Chair of Internal Medicine, Geisinger

Commonwealth School of Medicine; Chair, Geisinger Patient Safety Work Group

Page 2: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Agenda

• 10 Minutes: Introduction to Patient Safety Movement Foundation and Actionable Patient Safety Solutions (APSS)

• 40 Minutes: Patient Safety Movement Foundation’s Expert Presentation led by– Dr. Steven Scheinman & Dr. Margrit (Peggy)

Shoemaker• 10 Minutes: Q & A

Page 3: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Fostering New Efforts and Building On Existing Patient Safety Programs Through

Commitments to ZERO

Page 4: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Who Can Take Action?• Hospitals & Healthcare Organizations

– Make a Commitment

• Committed Partners– Sign the Commitment to Action letter

• Healthcare Technology Companies – Sign the Open Data Pledge

• Patient & Family Advocates– Share their Patient Story, Utilize Resources

Page 5: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Actionable Patient Safety Solutions (APSS)

Page 6: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Impact to Date

Page 7: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Impact to Date

*Numbers are based on self-reported data provided by hospitals

Page 8: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

APSS #17: Patient Safety CurriculumPatient Safety Curriculum for All Health Professionals

Steven Scheinman, MD,President and Dean, Geisinger Commonwealth School of Medicine; EVP and Chief Academic Officer, Geisinger Health System

Margrit (Peggy) Shoemaker, MD, FACP, Assistant Chair of Internal Medicine, Geisinger Commonwealth School of Medicine; Chair, Geisinger Patient Safety Work Group

Page 9: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

PSMF Curriculum Group Charge:“Create a curriculum that

is adaptable to clinical learners across professional development,

is applicable across health care professions,

emphasizes the benefits of team-based care, and

highlights the patient/family voice in the health care experience.”

Page 10: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Virtues of APSS #17Patient Safety Curriculum:

Modularity allows for adaptability:Across developmental spectrum (novice to expert)Across multiple health professionsEffective for use in part or in its entirety

Suitable for a variety of teaching strategiesConducive to delivery by non-expert facilitatorsPractical time requirementsExperiential whenever possibleWide range of resource types

Page 11: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Eight fundamental domains of patient safety:

Page 12: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

• Domain Name-definition/sticky note– Subdomain 1

• Learning Objectives “a”– Examples of competencies

• Learning Objective “b”– Examples of competencies

– Subdomain 2, etc.– Subdomain 3, etc.

• Resources

Modular Design:

Page 13: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

This domain addresses the concept of teams in healthcare delivery and emphasizes the knowledge, attitudes, skills and behaviors required of effective teans to deliver safe care. Error-prone “gaps” in care are highlighted with content offering validated communication frameworks to ensure patients’ safe transitions across the health care experience.

Subdomains:1. “Teams” in Health Care

a. Learning Objective –”(developmental verb) the benefits of effective interprofessional teams and their role in Patient Safety”

-Examples of competency achieved2. Handoffs and Gaps, etc3. TeamSTEPPS, etc.

Resources: role-play materials, videos, cases, local experiences (lay and clinical) for group discussion, online resources, materials for didactics, supplemental readings

Modular Design Example:Teamwork/Communication

Page 14: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

TW/C Subdomain 1: “Teams” in Health Care Learning Objectives-

• Novice - Recognize the benefits of effective interprofessional teams and their role in Patient Safety (PS)

• Advanced Beginner - Articulate the benefits of effective interprofessional teams and their role in PS

• Competent - Value the benefits of effective interprofessional teams and their role in PS

• Proficient - Model the benefits of effective interprofessional teams and their role in PS

• Expert - Teach the role of effective interprofessional teams and their role in PS

Page 15: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Examples of Competency:Novice- Recognize the benefits of effective

interprofessional teams and their role in Patient Safety• Following discussion of case studies student can identify benefits of

interprofessional teams in patient care.

• Following a didactic session student can list essential characteristics of highly functioning interprofessional teams; emphasizing mutual respect, shared values and psychological safety.

• Following a didactic session student can list benefits of interprofessional teams that include patient/family voice in patient care.

• After viewing a video depicting consequences of medical error, a student can reflect on areas of opportunity linked to use of interprofessional teams that include patient/family voice in patient care

Page 16: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Resources for Facilitators:

Videos/Patient StoriesReal Life ExperiencesOn-line resourcesMaterials for DidacticsMaterials for Role PlaySupplemental Readings

Page 17: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Implementation:Program Implementation

1. Crosswalk domain content with existing curriculum2. Identify gaps3. Identify opportunities for integration4. Obtain leadership commitment (Curriculum Committee, Course

Directors) 5. Faculty development6. Etc, etc, etc…

Page 18: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Small steps can lead to BIG changes!

Page 19: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Achievable Implementation:

Step 1: Facilitator pre-workStep 2: Curricular preparationStep 3: Engage learnersStep 4: Outcomes assessment

Page 20: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Step 1: Facilitator pre-work• Review domains/sub-domains (Executive Summary)• Identify covered content and gaps• Seek opportunities to integrate Patient Safety material in

current curriculum• Seek practical approaches to fill Patient Safety curricular

gaps

Page 21: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Integration/Addition of Patient Safety to existing curriculum

• Pre-Clinical- emphasize relevance to Patient Safety– Patient-centered communication – Interprofessional education experiences – Team building skill development– Case-based learning (modified with Patient Safety elements)

• Clinical- opportunity for Patient Safety teaching – Reflection on Patient Safety teaching points following clinical

experiences– Incorporate Patient Safety elements into clinical skills training using

standardized patients– “Just in time” teaching of Patient Safety principles during clinical

encounters

Page 22: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Step 2: Curricular Prep• Select educational target/gap• Review learning objectives (LOs) for your learners’ level of

development• Select educational method • Select teaching material or clinical setting• Review examples demonstrating LO competency• Personalize to context of your learners

Page 23: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Educational Targets:

Participant Foundational Domains

Linking Domains Aspirational Domains

Pre-Clinical Learner Advanced Beginner Novice Novice

Clinical Learner Competent Advanced Beginner to Competent

Advanced Beginner toCompetent

Early Practice (ieGME)

Competent to Proficient

Competent to Proficient

Competent to Proficient

Independent Practice

Competent to Expert

Competent to Expert

Competent to Expert

Page 24: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Example: “Teams” in health care

• Competent – Values the benefits of effective interprofessional teams and their role in patient safety.– Participates as a member of an interprofessional team for the

benefit of patient care– Incorporates patients and families into the interprofessional team

to benefit patient care– Demonstrates respect for the contributions of all team members,

including the patient, in the clinical setting to benefit patient care(Behaviors assessed in practical settings!)

Page 25: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Step 3: Engage Learners• Set expectations for learners (current courseà healthcare professionals)• Engage learners with content in a variety of ways (small group, classroom, clinical setting, etc.)• Learner assessment- debrief, discussion, reflection, observation with feedback, etc

Page 26: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Step 4:Outcomes AssessmentLearner Outcomes- knowledge, skills, attitudes, behaviors

Curricular Outcomes--learner needs met?-program goals met?-health system needs met?

Patient Safety Outcomes- measurable impact?-improved patient satisfaction?-increased error/near miss reporting?

Page 27: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Our Challenge:

Implement APSS #17 in your curriculum!https://patientsafetymovement.org/actionable-solutions/challenge-solutions/patient-safety-curriculum/

https://patientsafetymovement.org/actionable-solutions/challenge-solutions/patient-safety-curriculum/
Page 28: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Q & A

Page 29: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Save the Dates!Midyear Planning Meeting: Tuesday, September 17, 2019 | World Patient Safety DayCo-Convened with UC Irvine HealthBeckman Center of the National Academies of Sciences & Engineering, University of California, Irvine (UCI)Request your invitation today!

Next Quarterly Webinar: June 12, 2019Reducing Emergency Department Boarding Time, Hospital Length of Stay, and Inpatient Mortality for Hospitalized Patients after Implementation of an Electronic Throughput Dashboard

Expert Presenter: Brandyn D. Lau, MPH, CPH, Assistant Professor of Radiology and Radiological Science & Health Sciences Informatics, Johns Hopkins School of Medicine; Associate Faculty, Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine

Page 30: Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Thank you!


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