Patient Safety Resources
Patient safety is a core value in graduate medical education and in UW Medicine. The ACGME includes not only education in patient safety principles, but integration and participation in the training site’s patient safety culture and infrastructure as a necessary part of any clinical learning environment. Below you will find links to curricular and educational resources as well as the link to QI match, which is a platform for signing up for event reviews as well as other QI projects.
Error Disclosure
Interprofessional Error Disclosure Workshop:
- Error Disclosure Faculty Facilitators Guide
- Key Steps in Team Error Disclosure
- Error Disclosure Profession-Specific Cases
Recording and resources from the Spring 2021 Program Director Development Series (PDDS) by Dr. Andrew White
- Video
- Slides
- Certificate Program in Patient Safety and Quality
- American Society for Healthcare Risk Management
- Appropriate Disclosure to a Patient: Video
- White AA, Gallagher TH, Krauss MJ, Garbutt J, Waterman AD, Dunagan WC, Fraser VJ, Levinson W, Larson EB. The attitudes and experiences of trainees regarding disclosing medical errors to patients. Acad Med. 2008 Mar;83(3):250-6. doi: 10.1097/ACM.0b013e3181636e96. PMID: 18316869.
- Stroud L, Wong BM, Hollenberg E, Levinson W. Teaching medical error disclosure to physicians-in-training: a scoping review. Acad Med. 2013 Jun;88(6):884-92. doi: 10.1097/ACM.0b013e31828f898f. PMID: 23619064.
- Singh N, Wong BM, Stroud L. Characterizing Resident Preferences for Faculty Involvement and Support in Disclosing Medical Errors to Patients. J Grad Med Educ. 2018 Aug;10(4):394-399. doi: 10.4300/JGME-D-17-00722.1. PMID: 30154968; PMCID: PMC6108362.
Event Reviews
Resources:
- AHRQ’s System-Focused Event Investigation and Analysis Guide
- AHRQ’s System-Focused Event Investigation and Analysis Guide: Communication and Optimal Resolution Toolkit
Sign up for an event review at UWMC-ML and HMC via QI Match
QI match is a platform to match interested students, trainees, staff, and faculty to QI and patient safety projects. Program directors and trainees can also use this platform to view scheduled intensive reviews (event reviews) of patient safety events being held by the patient safety offices of UWMC-Montlake and HMC and sign up to attend these reviews as part of their patient safety education. For questions, please contact Dr. Lindee Strizich at lstrizic@uw.edu.
Care Transitions
- UW GME Transitions of Care Policy
- I-PASS
- Comprehensive I-PASS Handoff Curriculum (MedEd Portal)
- Transitions of Care Portal (The Joint Commission)
- Targeted Solutions Tool for Hand-Off Communications (The Joint Commission Center for Transforming Healthcare)
- Mind the Gap: A Novel Care Transitions Curriculum for Hospitalists and Residents (JGME)
- An Interactive Handoff Workshop to Improve Intern Readiness in Patient Care Transitions (JGME)
- Intern Transitions of Care Curriculum through Posthospital Home and Skilled Nursing Facility Visits (JGME)
- Transitions in Care: When Words Can Save Lives (NCBI)
UW Medicine Culture of Safety
2023 Culture of Safety Results – Residents/Fellows & Faculty Data
- ACGME CLER program includes including the GME community in periodic medical system culture of safety surveys
- In 2022 UW Medicine switched to Press Ganey Survey
- 2022 survey results – very low trainee “n”
External Resources
- Agency for Healthcare Research and Quality (AHRQ): Research arm of the US Department of Health and Human Services. Also note the AHRQ Patient Safety Network for information on patient safety and quality improvement topics.
- Institute for Healthcare Improvement (IHI) Open School: Allows health professions students, residents, and faculty to connect to learn the fundamentals of patient safety. The IHI Open School is a global learning community supporting the development of health care providers to enable the best possible care. They offer
- Online courses consisting of educational modules
- Project-Based learning with guided experiential training
- Community of inter-professional chapters and networks.
- An Assessment of an Educational Intervention on Resident Physician Attitudes, Knowledge, and Skills Related to Adverse Event Reporting (JGME)
Internal Resources
UW Medicine WISH: The WWAMI Institute for Simulation in Healthcare (WISH) is the University of Washington’s premiere simulation training facility for healthcare education serving the WWAMI region (Washington, Wyoming, Alaska, Montana, & Idaho)
Center for Scholarship in Patient Care Quality and Safety: The Center for Scholarship in Patient Care Quality & Safety is dedicated to ensuring that all patients receive safe, high-quality care. Using rigorous science and scalable training and project support , we accelerate the adoption of evidence-based practices that improve the safety, quality and value of care for patients everywhere.
GME Quality & Safety Foundations Course: The Graduate Medical Education (GME) Quality & Safety Foundations Course provides UW Medicine residents and fellows with efficient, high-quality training in quality improvement and patient safety. Participation satisfies Accreditation Council for Graduate Medical Education (ACGME) common program requirements for quality improvement and patient safety training. The course enhances preparedness for CLER reviews through a shared educational foundation.
