1. GRMEP Education Group: Gayla Jewell, PhD, RNC, NP Linda Youmans, MA, LPC 2012

2. What do New Residents think about Safety Events?

3. Responses: Strongly Agree 12.5% Agree 25% Neutral 25% Disagree 12.5% Strongly Disagree 25%

4. Responses: Strongly Agree 25% Agree 25% Neutral 25% Disagree 12.5% Strongly Disagree 12.5%

5. Responses: Yes57.5% Somewhat37.5% No5%

6. How do you interpret that: over 60% new residents are neutral about or disagree that making errors is inevitable and 75% are neutral or agree that competent physicians do not make medical errors that lead to patient harm? Are their expectations realistic? Have they internalized a lack of tolerance for errors? Do they think that only incompetent physicians make errors? ….Or that errors are not to be talked about? Other interpretations?

7. How will knowing about these responses influence your teaching and interaction with residents?

8. Humanize making mistakes: Describe an error you made and what you learned Begins rounds with a Safety Moment

9. Was the procedure, treatment, or test appropriate and warranted based on nationally recognized standards of care? Was the complication a known risk, was it anticipated, and did the care team plan ahead to take steps to prevent it? Was the complication identified in a timely manner (i.e. at the time of occurrence)? Was the complication treated according to the standard of care and in a timely manner? Healthcare Performance Improvement, LLC www.hpiresults.comwww.hpiresults.com

10. If answers to ALL four questions are YES, the event is a known complication and not a Safety Event If the answer to ANY question is NO, the event is a Safety Event Healthcare Performance Improvement, LLC www.hpiresults.comwww.hpiresults.com

11. Spectrum Health https://insite.spectrum-health.org/Safety- Central/Pages/Home.aspx Click on Safety Central Helen DeVos Childrens Hospital http://www.helendevoschildrens.org/qualityands afety http://www.helendevoschildrens.org/qualityands afety St Marys Health Centers http://www.mercyhealthsaintmarys.com/saint- marys-quality-safety

12. AHRQ Patient Safety Network http://psnet.ahrq.gov/primerHome.aspx GRMEP Education Specialist Gayla.Jewell@grmep.org GRMEP GME Advisor Linda.Youmans@grmep.org