Culture Change at the Source: A Medical School Tackles Patient Safety

Health care professionals have always been dedicated to providing safe patient care and minimizing errors,but training in methods for attaining this complex goal has never been part of medical school curricula or practitioner education. The Institute of Medicine report, To Err Is Human, highlighted this serious gap in medical education and identified a need for interprofessional education that will be essential to transforming American health care delivery and achieving our national goals for health care quality and safety. Relatively few educational institutions or academic health centers provide leadership in interprofessional education on patient safety. A 2-pronged educational approach is needed, one that reaches physicians in training and seasoned practitioners alike. On the national level, one of the better teaching tools is Best Practices in Patient Safety Education Module Handbook. This module handbook is a compilation of materials for house officers oriented around Accreditation Council for Graduate Medical Education (ACGME) competencies. At Jefferson Medical College, the Department of Health Policy has engaged in an effort to develop educational programs for its medical students and faculty.These programs are designed to heighten awareness of patient safety issues, provide insights on potential solutions, and promote a systemwide culture of safety. A mandatory program for third-year medical students was instituted in January 2004. The annual Interclerkship Day, so named because it occurs during the break between clinical rotations, devotes an entire day to discussing patient safety. The highly rated program features nationally prominent speakers who emphasize the role of the physician in patient safety at every level of training and experience. On September 15, 2005, this successful formula was translated into a half-day program for faculty members. A trio of experts approached patient safety from 3 different perspectives, each conveying a compelling message with applicability in real-world medical practice. The following presentation summaries hint at the potential power of such a program as an efficient, effective approach to professional education targeting patient safety.