Supporting a Culture of Patient Safety: Resident-Led Patient Safety Event Reviews in a Pathology Residency Training Program

Authors

Catherine Tucker, Thomas Jefferson UniversityFollow
Rebecca C. Jaffe,, Thomas Jefferson UniversityFollow
Allison F Goldberg, Thomas Jefferson UniversityFollow

Document Type

Article

Publication Date

2-28-2023

Comments

This article is the author’s final published version in Academic Pathology, Volume 10, Issue 1, February 2023, Article number 100069.

The published version is available at https://doi.org/10.1016/j.acpath.2023.100069. Copyright © Tucker et al.

Abstract

Patient safety is a critical component of quality patient care at any healthcare institution. In order to support a culture of patient safety, and in the context of a hospital-wide patient safety initiative at our institution, we have created and implemented a new patient safety curriculum within our training program. The curriculum is embedded in an introductory course for first-year residents, in which residents gain an understanding of the multifaceted role of the pathologist in patient care. The patient safety curriculum is a resident-centered event review process and includes 1) identification and reporting of a patient safety event, 2) event investigation and review, and 3) presentation of findings to the residency program including core faculty and safety champions for the consideration of implementation of the identified systems solution. Here we discuss the development of our patient safety curriculum, which was trialed over a series of seven event reviews conducted between January 2021 and June 2022. Resident involvement in patient safety event reporting and patient safety event review outcomes were measured. All event reviews conducted thus far have resulted in the implementation of the solutions discussed during event review presentations based on cause analysis and identification of strong action items. Ultimately this pilot will serve as the basis by which we implement a sustainable curriculum in our pathology residency training program centered on supporting a culture of patient safety, and in line with ACGME requirements.

Recommended Citation

Tucker, Catherine; Jaffe,, Rebecca C.; and Goldberg, Allison F, "Supporting a Culture of Patient Safety: Resident-Led Patient Safety Event Reviews in a Pathology Residency Training Program" (2023). Department of Pathology, Anatomy, and Cell Biology Faculty Papers. Paper 382.
https://jdc.jefferson.edu/pacbfp/382

Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

PubMed ID

36873567

Language

English