Post Number: 278
|Posted on Friday, January 11, 2013 - 11:01 am: ||
I know that many institutions have made the IHI Open School mandatory training in quality and patient safety. If you have done so, how many of the modules do you use? Which ones? How long would you estimate it takes a resident to go through them?
Thanks in advance.
Post Number: 11
|Posted on Friday, January 11, 2013 - 12:54 pm: ||
Here is what we require for all residents at Carilion Clinic
Patient Safety Curriculum – to be completed by June 30, 2013
Freedom from accidental injury"– a more than reasonable expectation for those accessing the health care system. This is how the Institute of Medicine defines patient safety in its landmark 1999 publication, To Err Is Human. In 1999, estimated deaths from medical errors in US hospitals was 98,000 per year and, while many successful improvement initiatives have been implemented since then, there is little evidence that a major decrease in patient harm has occurred. Patient safety initiatives in other countries identify similar issues and opportunities for improvement.
Many innovative health care organizations have made important breakthroughs in the design and performance of safer systems by focusing on lessons learned in other industries that have longer traditions of using quality methods and have achieved high levels of reliability. Examples include standardizing approaches, decreasing complexity, and incorporating human factors design. Redesign of processes combined with a shift to a culture of safety are essential for health care organizations to reduce harm to patients from medial errors.
This curriculum will be required of all residents and fellows and is the first group of modules that can be completed towards completion of a certificate in safety and quality from the IHI. The following modules have been incorporated into the resident scorecard and completion of the modules will result in progress towards completion of the scorecard and ultimately a bonus being paid if the scorecard measures are achieved. These modules are also part of the ACGME and AOA competencies of Patient Care, System Based Practice, Professionalism and Practice Based Learning and Improvement. Safety and Quality are a major focus of the residencies and fellowships accrediting agencies. Completion of these modules will result in a firm foundation in understanding the importance of in providing safe care to our patients.
PS 100: Introduction to Patient Safety - 1hr 30min
Lesson 1: Understanding Medical Error and Patient Safety – 30min
Lesson 2: Understanding Unsafe Acts – 30min
Lesson 3: A Call to Action — What YOU Can Do – 30min
PS 101: Fundamentals of Patient Safety - 1hr 15min
Lesson 1: To Err Is Human - 15min
Lesson 2: Responding to Error - 25min
Lesson 3: Identifying and Reporting Errors – 25min
Lesson 4: Error versus Harm – 10min
PS 102: Human Factors and Safety – 1hr
Lesson 1: Understanding the Science of Human Factors – 20min
Lesson 2: Changes Based on Human Factors Design Principles - 20min
Lesson 3: Using Technology to Mitigate the Impact of Error - 20min
PS 103: Teamwork and Communication – 1hr
Lesson 1: Why Are Teamwork and Communication Important? – 15min
Lesson 2: Basic Tools and Techniques – 15min
Lesson 3: Communication During Times of Transition – 15min
Lesson 4: Developing and Executing Effective Plans – 15min
PS 105: Communicating with Patients after Adverse Events – 1hr 30min
Lesson 1: The Importance of Communication When Things Go Wrong - 20min
Lesson 2: Responding to an Adverse Event: A Step-by-Step Approach - 20min
Lesson 3: The Impact of Adverse Events on Caregivers: The Second Victim – 15min
Lesson 4: The Apology - 20min
Lesson 5: To Communicate or Not to Communicate - 15min
PS 106: Introduction to the Culture of Safety -1hr
Lesson 1: The Power of Speaking Up - 20min
Lesson 2: What Is a Culture of Safety? - 20min
Lesson 3: How Can You Contribute to a Culture of Safety? - 20min
Dan Harrington, M.D.
Post Number: 9
|Posted on Friday, January 11, 2013 - 12:54 pm: ||
We require residents to complete all 6 of the IHI Quality Improvement and all 6 of the IHI Patient Safety modules. Each module takes ~30-60 minutes to complete so you are talking 8-12 hours to complete all 12 modules. Our resident QI Council has just recommended that all of our institution's residency programs offer incoming residents a chance to complete these modules after the match and before they start residency training so that this is one less requirement added to many others that must be completed after they start here as interns. The QI Council residents are actually drafting a letter that can be sent by programs to matched applicants explaining the IHI Open School, the value of completing this basic training, and the wisdom of trying to complete these modules before the busy start of their formal residency training duties. We obviously cannot require this training be completed before they start but each of our institution's residency programs sets a deadline for when during the first year the modules must be completed and we suspect those who complete this before the start of residency training will be very glad that they had completed this training in advance!
Iowa Health-Des Moines
Post Number: 279
|Posted on Tuesday, January 15, 2013 - 08:37 am: ||
Steve, Dan, thanks for your summaries. I like the idea of suggesting completion of the modules prior to the start date. Is there any issue with registering for the Open School prior to the start of the residency?
Post Number: 10
|Posted on Tuesday, January 15, 2013 - 09:46 am: ||
I don't think the IHI would have a problem with this. The IHI Open School modules are free for either medical students or residents in training. I think it is appropriate to now consider these individuals as residents at our institution just as we do during their orientation process we put them through prior to their July 1 start date.
Post Number: 4
|Posted on Friday, April 29, 2016 - 09:41 am: ||
I would like to follow-up on this thread from a few years ago since it seems most programs are now going with IHI.
If you require completion of IHI Modules, which ones do you mandate? Have you found the requirement of these modules help with the CLER Visits? We are thinking about using IHI instead of the AMA IPM Modules. Anyone else switch and is it better?