The outcomes card
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INTRODUCTION: The Accreditation Council for Graduate Medical Education requires competence in systems-based practice (SBP) demonstrating understanding of complex interactions between systems of care and its impact upon care delivery. Patient safety is a useful vehicle to facilitate learning about these interactions.
AIM: Develop an educational tool, Outcomes Card (OC), to reinforce core concepts of SBP.
SETTING: Urgent Care Center at Louis Stokes Cleveland Department of Veterans Affairs Medical Center.
PROGRAM DESCRIPTION: Pilot study of an educational intervention for residents that included patient safety didactic sessions and analysis of 2 self-identified clinical cases using the OC. Residents entered the following information on the OC: case description, type of event (error, near miss, and/or adverse event), error type(s), systems, and system failures.
PROGRAM EVALUATION: Two reviewers independently analyzed 98 cards completed during 60 two-week trainee rotations (81.7% return rate). Interrater reliability for error types between residents and physician supervisor and between reviewers was excellent (κ=0.88 and 0.95, respectively), and for system identification was good (κ=0.66 and 0.68, respectively). The self-assessment survey (56.6% return rate) suggests that residents improved their knowledge of patient safety and had positive attitudes about the curriculum.
DISCUSSION: This pilot study suggests that OCs are feasible and reliable educational tools for enhancing competence in SBP.
- The outcomes card
Journal of General Internal Medicine
Volume 20, Issue 8 , pp 769-771
- Cover Date
- Print ISSN
- Online ISSN
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- patient safety
- medical education
- program evaluation
- Industry Sectors
- Author Affiliations
- 1. Louis Stokes Cleveland DVAMC, 170A(W), 10701 East Boulevard, 44106, Cleveland, OH
- 2. Case Western Reserve University School of Medicine, Cleveland, Ohio, USA