Patient Safety Foundations
This term refers to the process of maintaining continuous safe care during transitions between different healthcare providers.
What is "Transitions of Care"?
This cycle is used to implement changes in clinical practice with the goal of improving patient safety and quality.
What is PDSA (Plan-Do-Study-Act)?
The acronym SBAR stands for Situation, Background, Assessment, and this final component used for effective communication during handoffs.
What is "Recommendation"?
During the R1 year, this training focuses on strategies to manage fatigue and ensure safe duty hour practices.
What is "Duty Hours and Fatigue Mitigation Training"?
This event, often addressed during a root cause analysis, is a critical safety concern that has a serious impact on patient care.
What is a "Sentinel Event"?
This model is used to continuously improve patient safety by addressing issues such as communication breakdowns and errors.
What is "High Reliability"?
This type of analysis helps identify the underlying causes of a serious safety event.
What is "Root Cause Analysis"?
This system of communication can be used to express concerns when a situation is uncomfortable or unsafe.
What is "CUS" (Concern, Uncomfortable, STOP)?
In the R2 year, residents are expected to lead these types of meetings to ensure clear transitions of patient care.
What are "Morning and Evening Sign-Outs"?
Residents work with this team to manage the safe and comprehensive disposition of hospitalized patients.
What is "Transitional Care Management Team"?
This framework for improving patient safety emphasizes team-based care, including SBAR, CUS, and root cause analysis.
What is "High Reliability Organization"?
This set of actions is used to ensure safe transitions of care between inpatient and outpatient settings.
What is "Transitional Care Management (TCM)"?
This is the primary method of communicating information about a patient’s care and ongoing needs when transferring care between providers.
What is "Verbal and Written Handoff"?
In the R3 year, residents will have this supervisory role, providing feedback on transitions of care and patient list management.
What is "Inpatient Service Chief"?
This formal debriefing process is used to identify causes of failures in patient safety systems and practice.
What is "Failure Modes and Effects Analysis"?
This is a critical system that healthcare workers use to report safety concerns or unexpected events.
What is "Unusual Occurrence Report (UOR)"?
This type of quality report identifies metrics like nosocomial infections and VTE prophylaxis to help track improvements.
What are "Quality Reports"?
Effective handoffs are expected to minimize this, especially during transitions from inpatient to outpatient care.
What are "Medical Errors"?
During their R3 year, residents are expected to participate in this type of quality and safety forum within the clinic.
What is "Office Operations Committee"?
This process, often used after a significant safety event, involves a team working together to explore all possible contributing factors
What is "Failure Modes and Effects Analysis (FMEA)"?
This approach aims to maintain safety in healthcare environments by using strategies such as regular safety huddles, checklists, and error-reducing procedures.
What is "Safety Culture"?
This process helps teams assess and improve workflows within the clinical environment, with the goal of reducing waste and optimizing patient care delivery.
What is "Lean Methodology"?
This tool is used during handoffs to structure and ensure the completeness of the report, minimizing the risk of omissions or miscommunications.
What is "SBAR (Situation, Background, Assessment, Recommendation)"?
In the R3 year, residents must take part in this self-assessment module through the American Board of Family Medicine.
What is "Part IV Self-Assessment Module"?
Residents participate in this committee, which focuses on clinical safety and quality improvement decisions in the clinic.
What is "Office Operations Committee"?