scholarly journals Formal remediation and probation (part two of 3). When residents shouldn’t become clinicians: getting a grip on fair and defensible processes for termination of training

2021 ◽  
Author(s):  
Karen Schultz ◽  
Andrea Risk ◽  
Lisa Newton ◽  
Nicholas Snider
Keyword(s):  
Patient Safety ◽  
Residency Program ◽  
Training Programs ◽  
Program Assessment ◽  
Small Minority ◽  
Safety Risks ◽  
Policies And Procedures ◽  
Assessment Policies ◽  
Academic Decisions ◽  
Fair Assessment

Training programs have the dual responsibility of providing excellent training for their learners and ensuring their graduates are competent practitioners. Despite everyone’s best efforts a small minority of learners will be unable to achieve competence and cannot graduate. Unfortunately, program decisions for training termination are often overturned, not because the academic decision was wrong, but because fair assessment processes were not implemented or followed. This series of three articles, intended for those setting residency program assessment policies and procedures, outlines recommendations, from establishing robust assessment foundations and the beginning of concerns (Part One), to established concerns and formal remediation (Part Two) to participating in formal appeals and after (Part Three). With these 14 recommendations on how to get a grip on fair and defensible processes for termination of training, career-impacting decisions that are both fair for the learner and defensible for programs are indeed possible. They are offered to minimize the chances of academic decisions being overturned, an outcome which wastes program resources, poses patient safety risks, and delays the resident finding a more appropriate career path. This article (Part Two in the series of three) will focus on what to do when concerns become established, and a formal remediation or probation is necessary.

scholarly journals Program foundations and beginning of concerns (part one of 3). When residents shouldn’t become clinicians: getting a grip on fair and defensible processes for termination of training

2021 ◽  
Author(s):  
Karen Schultz ◽  
Andrea Risk ◽  
Lisa Newton ◽  
Nicholas Snider
Keyword(s):  
Patient Safety ◽  
Residency Program ◽  
Training Programs ◽  
Program Assessment ◽  
Small Minority ◽  
Safety Risks ◽  
Policies And Procedures ◽  
Assessment Policies ◽  
Academic Decisions ◽  
Fair Assessment

Training programs have the dual responsibility of providing excellent training for their learners and ensuring their graduates are competent practitioners. Despite everyone’s best efforts a small minority of learners will be unable to achieve competence and cannot graduate. Unfortunately, program decisions for training termination are often overturned, not because the academic decision was wrong, but because fair assessment processes were not implemented or followed. This series of three articles, intended for those setting residency program assessment policies and procedures, outlines recommendations, from establishing robust assessment foundations and the beginning of concerns (Part One), to established concerns and formal remediation (Part Two) to participating in formal appeals and after (Part Three). With these 14 recommendations on how to get a grip on fair and defensible processes for termination of training, career-impacting decisions that are both fair for the learner and defensible for programs are indeed possible. They are offered to minimize the chances of academic decisions being overturned, an outcome which wastes program resources, poses patient safety risks, and delays the resident finding a more appropriate career path. This article (part one in the series of three) will focus on the foundational aspects of residency training and the emergence of concerns.

scholarly journals The appeal process and beyond (part three of 3). When residents shouldn’t become clinicians: getting a grip on fair and defensible processes for termination of training

2021 ◽  
Author(s):  
Karen Schultz ◽  
Andrea Risk ◽  
Lisa Newton ◽  
Nicholas Snider
Keyword(s):  
Patient Safety ◽  
Training Programs ◽  
Program Assessment ◽  
Small Minority ◽  
Safety Risks ◽  
Policies And Procedures ◽  
Assessment Policies ◽  
Appeal Process ◽  
Academic Decisions ◽  
Fair Assessment

Training programs have the dual responsibility of providing excellent training for their learners and ensuring their graduates are competent practitioners. Despite everyone’s best efforts a small minority of learners will be unable to achieve competence and cannot graduate. Unfortunately, program decisions for training termination are often overturned, not because the academic decision was wrong, but because fair assessment processes were not implemented or followed. This series of three articles, intended for those setting residency program assessment policies and procedures, outlines recommendations, from establishing robust assessment foundations and the beginning of concerns (Part One), to established concerns and formal remediation (Part Two) to participating in formal appeals and after (Part Three). With these 14 recommendations on how to get a grip on fair and defensible processes for termination of training, career-impacting decisions that are both fair for the learner and defensible for programs are indeed possible. They are offered to minimize the chances of academic decisions being overturned, an outcome which wastes program resources, poses patient safety risks, and delays the resident finding a more appropriate career path. This article (Part Three in the series of three) will focus on the formal appeals and what to do after the appeal.

scholarly journals Diversity and Inclusion on General Surgery, Integrated Thoracic Surgery, and Integrated Vascular Surgery Residency Program Websites

2021 ◽  
Author(s):  
Ryan Mortman ◽  
Harold A. Frazier ◽  
Yolanda C. Haywood
Keyword(s):  
Thoracic Surgery ◽  
Vascular Surgery ◽  
General Surgery ◽  
Residency Program ◽  
Training Programs ◽  
Residency Programs ◽  
Diversity And Inclusion ◽  
Related Information ◽  
Application Service ◽  
Surgery Residency Program

ABSTRACT Background Increasing diversity in medicine is receiving more attention yet underrepresented in medicine (UiM) surgeons remain a small fraction of all surgeons. Whether surgical training programs attempt to attract UiM applicants to their programs, and therefore their specialties, through program website information is unclear. Objective To analyze the scope of diversity and inclusion (D&I) related information on US allopathic and osteopathic general surgery, integrated thoracic surgery, and integrated vascular surgery residency program websites. Methods Residency programs were identified through the Electronic Residency Application Service (ERAS) in July 2020. We searched surgical program websites and collected data on the presence or absence of variables labeled “diversity & inclusion” or “underrepresented in medicine.” Variables found on program websites as well as sites linked to the program website were included. We excluded programs identified in ERAS as fellowship training programs. Programs without webpages were also excluded. Results We identified 425 residency programs and excluded 22 from data analysis. Only 75 of the 403 included programs (18.6%) contained D&I-related information. The presence of individual variables was also low, ranging from 4.5% for opportunities related to early exposure to the specialty to 11.1% for a written or video statement of commitment to D&I. Conclusions In 2020, as recruitment and interviews moved entirely online, few US allopathic and osteopathic general surgery, integrated thoracic surgery, and integrated vascular surgery residency programs provided D&I-related information for residency applicants on their program websites.

scholarly journals SEGURANÇA DO PACIENTE NA VISÃO DE ENFERMEIROS: UMA QUESTÃO MULTIPROFISSIONAL

2017 ◽  
Vol 8 (1) ◽  
pp. 52
Author(s):  
Marcos Antonio Nunes De Araujo ◽  
Wilson Danilo Lunardi Filho ◽  
Rosemary Silva Da Silveira ◽  
Jose Carlos Souza ◽  
Edison Luiz Devos Barlem ◽  
...  
Keyword(s):  
Patient Safety ◽  
Descriptive Study ◽  
Hospital Nurses ◽  
Cross Sectional ◽  
Mato Grosso ◽  
Safety Risks ◽  
City State ◽  
Promote Patient Safety ◽  
Mato Grosso Do Sul

Objetivo: identificar como o enfermeiro percebe a segurança do paciente na instituição de saúde em que atua. Metodologia: estudo descritivo, de corte transversal, realizado entre janeiro e fevereiro de 2016, em Dourados/MS, com 52,58% da população de 310 enfermeiros hospitalares. Aplicou-se questionário sociodemográfico com questões vinculadas à segurança do paciente, cujos dados foram submetidos à análise descritiva. Resultados: parte dos enfermeiros apontou menor segurança quanto aos procedimentos, cuidados e administração de medicamentos. Conclusão: compete à equipe multiprofissional atuar na promoção da segurança do paciente, sendo o enfermeiro o profissional apto a identificar e comunicar riscos iminentes, prevenindo a ocorrência de danos e promovendo saúde na sua integralidade, devido à assistência de enfermagem ocorrer ao longo das 24 horas do dia.Descritores: Segurança do paciente, Gerenciamento de risco, Papel do enfermeiro, Raciocínio clínico.PATIENT SAFETY IN THE PERPECTIVE OF NURSES: A MULTI PROFESSIONAL ISSUEObjective: to highlight how the institutional safety is in the perspective of nurses. Methodology: a cross-sectional descriptive study conducted between January and February 2016, in Dourados City, State of Mato Grosso do Sul, Brazil, with 52.58% of 310 hospital nurses. A sociodemographic questionnaire with questions about “patient safety” was used. A descriptive and statistical analysis was performed. Results: some of the nurses indicated less safety regarding procedures, care and administration of medication. Conclusion: It is the role of multi professional team to promote patient safety. Nurses are capable of identifying and communicating imminent risks, due to their 24 hours assistance, preventing injuries and promoting health in its entirety.Descriptors: Patient Safety, Risks Management, Nurse’s Role, Clinical reasoning.SEGURIDAD DE LOS PACIENTES EN LA PERCEPCIÓN DE ENFERMEROS: UNA CUESTIÓN MULTIPROFESIONALObjetivo: identificar cómo la enfermera percibe la seguridad del paciente en la institución de salud en que actúa. Metodologia: estudio descriptivo de corte trasversal hecho de enero a febrero de 2016, en Dourados/MS, con 52,58% de la población de enfermeros hospitalarias. Se utilizó encuesta sociodemografica respecto la “seguridad del paciente” Se hizo el análisis descriptivo y estadístico. Resultados: parte considerable de los enfermeros indicó menor seguridad cuanto a procedimientos, cuidados y administración medicamentosa. Conclusión: el equipo multiprofesional debe promover la seguridad del paciente, considerando el enfermero como el más apto a identificar y comunicar riesgos inminentes en las 24h de su asistencia, evitando danos e promocionando salud en su integralidad.Descriptores: Seguridad del paciente, Administración de riesgos, Función de los enfermeros, Raciocinio clínico.

Hidden factors in community pharmacy related to medication safety risks: Pushing patient safety to breaking point

2021 ◽  
Author(s):  
Ammar Abdulrahman Jairoun ◽  
Sabaa Saleh Al-Hemyari ◽  
Maimona Jairoun ◽  
Faris El-Dahiyat ◽  
Mina Rabea Al Ani ◽  
...  
Keyword(s):  
Patient Safety ◽  
Community Pharmacy ◽  
Medication Safety ◽  
Breaking Point ◽  
Safety Risks

scholarly journals Prioritizing resident and patient safety while maintaining educational value: emergency restructuring of a Canadian surgical residency program during COVID19

2020 ◽  
Vol 63 (3) ◽  
pp. E302-E305 ◽  
Author(s):  
Nada Gawad ◽  
Chelsea Towaij ◽  
Tommy Stuleanu ◽  
Carlos Garcia-Ochoa ◽  
Lara J Williams
Keyword(s):  
Patient Safety ◽  
Residency Program ◽  
Educational Value ◽  
Surgical Residency

Associations Between National Board Exam Performance and Residency Program Emphasis on Patient Safety and Interprofessional Teamwork

2019 ◽  
Vol 43 (6) ◽  
pp. 581-584
Author(s):  
Tyler J. Loftus ◽  
David J. Hall ◽  
John Z. Malaty ◽  
Sony B. Kuruppacherry ◽  
George A. Sarosi ◽  
...  
Keyword(s):  
Patient Safety ◽  
Residency Program ◽  
Exam Performance ◽  
National Board ◽  
Interprofessional Teamwork ◽  
Board Exam

Involving Nonclinical Departments in Patient Safety Discussions can Reduce the Risk of Serious Errors; “40 of K” is Not OK; NDC Number ID of Compounded Prescription Ingredient Leads to Error; Topamax-Toprol XL Mix-Up

2002 ◽  
Vol 37 (11) ◽  
pp. 1140-1146
Author(s):  
Michael R. Cohen
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Medication Errors ◽  
Training Programs ◽  
Health Care Facilities ◽  
Inservice Training ◽  
Safe Medication ◽  
Care Facilities ◽  
Procedural Safeguards

These medication errors have occurred in health care facilities at least once. They will happen again–perhaps where you work. Through education and alertness of personnel and procedural safeguards, they can be avoided. You should consider publishing accounts of errors in your newsletters and/or presenting them in your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the USP Medication Errors Reporting Program, which is presented in cooperation with the Institute for Safe Medication Practices. If you have encountered medication errors and would like to report them, you may call USP toll-free, 24 hours a day, at 800-233-7767 (800-23-ERROR). Any reports published by ISMP will be anonymous. Comments are also invited; the writers' names will be published if desired. ISMP may be contacted at the address shown below.

scholarly journals Safe use of the EHR by medical scribes: a qualitative study

2020 ◽  
Author(s):  
Joan S Ash ◽  
Sky Corby ◽  
Vishnu Mohan ◽  
Nicholas Solberg ◽  
James Becton ◽  
...  
Keyword(s):  
Patient Safety ◽  
Best Practices ◽  
Clinical Training ◽  
Rapid Assessment ◽  
Data Gathering ◽  
Assessment Process ◽  
Healthcare Organizations ◽  
Safety Risks ◽  
The Us ◽  
Medical Scribes

Abstract Objective Hiring medical scribes to document in the electronic health record (EHR) on behalf of providers could pose patient safety risks because scribes often have no clinical training. The aim of this study was to investigate the effect of scribes on patient safety. This included identification of best practices to assure that scribe use of the EHR is not a patient safety risk. Materials and Methods Using a sociotechnical framework and the Rapid Assessment Process, we conducted ethnographic data gathering at 5 purposively selected sites. Data were analyzed using a grounded inductive/hermeneutic approach. Results We conducted site visits at 12 clinics and emergency departments within 5 organizations in the US between 2017 and 2019. We did 76 interviews with 81 people and spent 80 person-hours observing scribes working with providers. Interviewees believe and observations indicate that scribes decrease patient safety risks. Analysis of the data yielded 12 themes within a 4-dimension sociotechnical framework. Results about the “technical” dimension indicated that the EHR is not considered overly problematic by either scribes or providers. The “environmental” dimension included the changing scribe industry and need for standards. Within the “personal” dimension, themes included the need for provider diligence and training when using scribes. Finally, the “organizational” dimension highlighted the positive effect scribes have on documentation efficiency, quality, and safety. Conclusion Participants perceived risks related to the EHR can be less with scribes. If healthcare organizations and scribe companies follow best practices and if providers as well as scribes receive training, safety can actually improve.

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