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Analysis of patient safety messages delivered and received during clinical rounds
BACKGROUND: Multiple modalities are available to introduce patient safety training to healthcare professionals. In internal medicine, clinical rounds have always played an important role in education; however, the patient safety content taught at the point of care is not well studied. We studied, bo...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7388879/ https://www.ncbi.nlm.nih.gov/pubmed/32719084 http://dx.doi.org/10.1136/bmjoq-2019-000869 |
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author | Levine, Diane Gadivemula, Jaya Kutaimy, Raya Kamatam, Srinivasa Sarvadevabatla, Nagaratna Lohia, Prateek |
author_facet | Levine, Diane Gadivemula, Jaya Kutaimy, Raya Kamatam, Srinivasa Sarvadevabatla, Nagaratna Lohia, Prateek |
author_sort | Levine, Diane |
collection | PubMed |
description | BACKGROUND: Multiple modalities are available to introduce patient safety training to healthcare professionals. In internal medicine, clinical rounds have always played an important role in education; however, the patient safety content taught at the point of care is not well studied. We studied, both quantitatively and qualitatively, the number and nature of patient safety messages delivered by attending physicians to determine what is taught at the point of care and how well this is recognised and recalled by attending physicians, residents and medical students. METHODS: This prospective mixed methods study was conducted on the medicine teaching service. Clinical rounds were audio-recorded. Immediately after rounds, attending physicians, residents and students completed a short survey card identifying the number and type of educational messages they immediately recalled teaching or hearing. Independent t-test was used to compare differences in the number of messages delivered by attendings and recalled by trainees. One-way analysis of variance was used to compare differences in messages delivered by attending physicians compared with trainees. Recordings were transcribed and analysed qualitatively for patient safety content. RESULTS: Trainees recalled more educational messages than attendings recalled teaching in all educational domains. Safety messages comprised 17.5% of educational messages. The average number of patient safety messages recalled per session was 1.08 per attending physicians, 1.84 per resident and 2.50 per student. Residents recalled 56.4% of safety messages delivered; students recalled 76.7% of safety messages. CONCLUSION: Patient safety is a focus of teaching during clinical rounds and provides meaningful opportunities to train students and residents to practice safe patient care. |
format | Online Article Text |
id | pubmed-7388879 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-73888792020-08-11 Analysis of patient safety messages delivered and received during clinical rounds Levine, Diane Gadivemula, Jaya Kutaimy, Raya Kamatam, Srinivasa Sarvadevabatla, Nagaratna Lohia, Prateek BMJ Open Qual Original Research BACKGROUND: Multiple modalities are available to introduce patient safety training to healthcare professionals. In internal medicine, clinical rounds have always played an important role in education; however, the patient safety content taught at the point of care is not well studied. We studied, both quantitatively and qualitatively, the number and nature of patient safety messages delivered by attending physicians to determine what is taught at the point of care and how well this is recognised and recalled by attending physicians, residents and medical students. METHODS: This prospective mixed methods study was conducted on the medicine teaching service. Clinical rounds were audio-recorded. Immediately after rounds, attending physicians, residents and students completed a short survey card identifying the number and type of educational messages they immediately recalled teaching or hearing. Independent t-test was used to compare differences in the number of messages delivered by attendings and recalled by trainees. One-way analysis of variance was used to compare differences in messages delivered by attending physicians compared with trainees. Recordings were transcribed and analysed qualitatively for patient safety content. RESULTS: Trainees recalled more educational messages than attendings recalled teaching in all educational domains. Safety messages comprised 17.5% of educational messages. The average number of patient safety messages recalled per session was 1.08 per attending physicians, 1.84 per resident and 2.50 per student. Residents recalled 56.4% of safety messages delivered; students recalled 76.7% of safety messages. CONCLUSION: Patient safety is a focus of teaching during clinical rounds and provides meaningful opportunities to train students and residents to practice safe patient care. BMJ Publishing Group 2020-07-27 /pmc/articles/PMC7388879/ /pubmed/32719084 http://dx.doi.org/10.1136/bmjoq-2019-000869 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/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 | Original Research Levine, Diane Gadivemula, Jaya Kutaimy, Raya Kamatam, Srinivasa Sarvadevabatla, Nagaratna Lohia, Prateek Analysis of patient safety messages delivered and received during clinical rounds |
title | Analysis of patient safety messages delivered and received during clinical rounds |
title_full | Analysis of patient safety messages delivered and received during clinical rounds |
title_fullStr | Analysis of patient safety messages delivered and received during clinical rounds |
title_full_unstemmed | Analysis of patient safety messages delivered and received during clinical rounds |
title_short | Analysis of patient safety messages delivered and received during clinical rounds |
title_sort | analysis of patient safety messages delivered and received during clinical rounds |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7388879/ https://www.ncbi.nlm.nih.gov/pubmed/32719084 http://dx.doi.org/10.1136/bmjoq-2019-000869 |
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