Piloting a Simulation-Based Curriculum to Advance Patient Safety and Quality Improvement in Graduate Medical Education: A Quality Improvement Initiative in a Colombian University

Document Type

Presentation

Loading...

Media is loading
 

Publication Date

7-24-2025

Comments

Presentation: 39:58

Abstract

Improving patient safety and healthcare quality remains a global priority, yet the integration of these principles into graduate medical education (GME) is often inconsistent, particularly in low- and middle-income countries. In Colombia, where underreporting of adverse events and limited safety culture persist, GME presents a critical opportunity to introduce system-level improvements. This Capstone project aimed to design, pilot, and evaluate a simulation-based curriculum to strengthen competencies in patient safety and quality improvement among medical residents at CES University in Medellín, Colombia. Guided by Kotter’s 8-Step Change Model, the curriculum was developed collaboratively with faculty and implemented in three residency programs—Anesthesiology, Internal Medicine, and Pediatrics—between January and May 2025. The intervention included didactic content, high-fidelity simulation scenarios, and structured debriefings. Evaluation methods included pre- and post-intervention knowledge assessments, self-reported confidence ratings, attendance tracking, and qualitative feedback. A total of 54 residents participated. Post-intervention results showed a significant increase in knowledge scores across all specialties, with the highest gains observed in Anesthesiology. Confidence in applying patient safety concepts improved in all measured domains. Qualitative analysis revealed strengthened psychological safety, heightened awareness of system vulnerabilities, and increased motivation to engage in safety reporting. All participants completed both pre- and post-assessments, and the faculty reported high engagement during debriefings. This pilot demonstrates that simulation-based training is a feasible and effective approach to embedding safety and quality principles in GME within the Colombian context. The findings support expansion to additional specialties, integration into formal curricula, and alignment with national regulatory goals. This initiative affirms the role of GME as a strategic platform to improve healthcare delivery by shaping the next generation of safety-oriented clinicians.

Language

English

This document is currently not available here.

Submit Feedback on Presentation

Share

COinS