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Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship

Health systems in low-income and middle-income countries (LMICs) have a high burden of medical errors and complications, and the training of local experts in patient safety is critical to improve the quality of global healthcare. This analysis explores our experience with the Duke Global Health Pati...

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Autores principales: Johnston, Bria E, Lou-Meda, Randall, Mendez, Sindy, Frush, Karen, Milne, Judy, Fitzgerald, Tamara, Sexton, J Bryan, Rice, Henry
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407551/
https://www.ncbi.nlm.nih.gov/pubmed/30899564
http://dx.doi.org/10.1136/bmjgh-2018-001220
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author Johnston, Bria E
Lou-Meda, Randall
Mendez, Sindy
Frush, Karen
Milne, Judy
Fitzgerald, Tamara
Sexton, J Bryan
Rice, Henry
author_facet Johnston, Bria E
Lou-Meda, Randall
Mendez, Sindy
Frush, Karen
Milne, Judy
Fitzgerald, Tamara
Sexton, J Bryan
Rice, Henry
author_sort Johnston, Bria E
collection PubMed
description Health systems in low-income and middle-income countries (LMICs) have a high burden of medical errors and complications, and the training of local experts in patient safety is critical to improve the quality of global healthcare. This analysis explores our experience with the Duke Global Health Patient Safety Fellowship, which is designed to train clinicians from LMICs in patient safety, quality improvement and infection control. This intensive fellowship of 3–4 weeks includes (1) didactic training in patient safety and quality improvement, (2) experiential training in patient safety operations, and (3) mentorship of fellows in their home institution as they lead local safety programmes. We have learnt several lessons from this programme, including the need to contextualise training to local needs and resources, and to focus training on building interdisciplinary patient safety teams. Implementation challenges include a lack of resources and data collection systems, and limited recognition of the role of safety in global health contexts. This report can serve as an operational guide for intensive training in patient safety that is contextualised to global health challenges.
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spelling pubmed-64075512019-03-21 Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship Johnston, Bria E Lou-Meda, Randall Mendez, Sindy Frush, Karen Milne, Judy Fitzgerald, Tamara Sexton, J Bryan Rice, Henry BMJ Glob Health Practice Health systems in low-income and middle-income countries (LMICs) have a high burden of medical errors and complications, and the training of local experts in patient safety is critical to improve the quality of global healthcare. This analysis explores our experience with the Duke Global Health Patient Safety Fellowship, which is designed to train clinicians from LMICs in patient safety, quality improvement and infection control. This intensive fellowship of 3–4 weeks includes (1) didactic training in patient safety and quality improvement, (2) experiential training in patient safety operations, and (3) mentorship of fellows in their home institution as they lead local safety programmes. We have learnt several lessons from this programme, including the need to contextualise training to local needs and resources, and to focus training on building interdisciplinary patient safety teams. Implementation challenges include a lack of resources and data collection systems, and limited recognition of the role of safety in global health contexts. This report can serve as an operational guide for intensive training in patient safety that is contextualised to global health challenges. BMJ Publishing Group 2019-02-20 /pmc/articles/PMC6407551/ /pubmed/30899564 http://dx.doi.org/10.1136/bmjgh-2018-001220 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Practice
Johnston, Bria E
Lou-Meda, Randall
Mendez, Sindy
Frush, Karen
Milne, Judy
Fitzgerald, Tamara
Sexton, J Bryan
Rice, Henry
Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship
title Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship
title_full Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship
title_fullStr Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship
title_full_unstemmed Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship
title_short Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship
title_sort teaching patient safety in global health: lessons from the duke global health patient safety fellowship
topic Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407551/
https://www.ncbi.nlm.nih.gov/pubmed/30899564
http://dx.doi.org/10.1136/bmjgh-2018-001220
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