1. DISCUSSION INTRODUCTION Baseline knowledge, skills, and attitudes in quality improvement and patient safety (QIPS) among Year 1 students Rohit Saha, Ryan Eckert, Tim Quinn, Larry Dall, Jennifer Bequette UMKC School of Medicine RESULTS REFERENCES Knowledge QuestionsPercent of students with correct answer Discussion with the patient prior to discharge should include55% Two patient identifiers should be used before which of the following?82% Before giving a transfusion, the verification process requires47.46% Before or during a procedure, which of the following is true?37.29% It is acceptable to use the following two patient identifiers55.93% Which of the following is true regarding the reduction in risk of healthcare associated infections?63.56% Medication labels should contain which of the following?94.92% When labeling a specimen container, the following are true:17.80% Which of the following is true regarding identifying patients at risk for suicide?79.66% Which of the following statements is false when performing a critical lab or procedure result read-back?40.68% The two-patient identifier goal applies to the following when a health care profession is providing treatment or service to the patient:62.71% Which of the following is true regarding medication labeling?28.81% Which of the following are true statements?38.98% Contact Precautions requires the following?64.41% Which of the following is false regarding hand hygiene?77.98% Attitudes Medical errors should be disclosed to patients 51.00% : Strongly Agree Medical errors often occur when the health care professional is rushed or pressed for time 44.07% : Strongly Agree I believe that the collaboration of multiple healthcare professionals is needed for good clinical outcomes 61.80% : Strongly Agree If I were to report an incident regarding patient safety or inappropriate substance use by another healthcare professional, I feel that I may be mistreated or my course grade may be lowered27.12% : Neutral I know where to turn for answers if I have questions or concerns about patient safety in my continuing care clinic27.97% : Agree Skills Identifying the patient safety issue 32.30% : Neutral Writing a clear problems statement 29.66% : Unsure Identifying best practices and comparing these to your clinic's practice/skills 27.97% : Unsure Using the plan, do study, assess model as a systematic framework for trial and learning 37.29% : Not at all Identifying how data are linked to specific processes 22.03% : Unsure Pre-clinical Year 1 Students – Surveys Distributed: 118 Knowledge: 15 questions Attitudes: 5 questions Skills: 5 questions No subject identifiers Questions based on the Joint Commissions National Patient Safety Goals for Hospital Accreditation of 2014 4 Student’s knowledge scores indicate a need for curriculum implementation – QIPS Curriculum 4, 5 – Post test results to follow Students need to understand who they can turn to when help is needed – Curriculum guidance – Docent meetings Students need to feel safe when reporting faculty or colleagues for medical errors Baseline assessment of Years 2 – 6 Testing of different schools 1.http://www.usmle.org/pdfs/Changes_to_USMLE_2014 2015_handout_FINAL.pdfhttp://www.usmle.org/pdfs/Changes_to_USMLE_2014 2015_handout_FINAL.pdf 2.http://www.lcme.org/new_standard_ed-19-a.htmhttp://www.lcme.org/new_standard_ed-19-a.htm 3.https://www.documentcloud.org/documents/781687-john- james-a-new-evidence-based-estimate- of.html#document/p1/a117333https://www.documentcloud.org/documents/781687-john- james-a-new-evidence-based-estimate- of.html#document/p1/a117333 4.http://www.jointcommission.org/assets/1/6/HAP_NPSG_C hapter_2014.pdfhttp://www.jointcommission.org/assets/1/6/HAP_NPSG_C hapter_2014.pdf 5.Sun Jung Myung et. all. The Patient Safety Curriculum for Undergraduate Medical Students as a First Step Toward Improving Patient Safety. J Surg Educ. 2012; 69(5)659-64 6.Yanli Nie et. all. Patient Safety Education for Undergraduate Medical Students: A systematic Review. BMC Medical Education. 2011; 11:33 Responding to a national call to address patient safety, the new curriculum strives to enable students to become patient advocates capable of providing patient centered team based quality care by using safety attitudes, knowledge, and skills 1,2 United States Medical Licensing Exam – Examinees will seen an increased focus on quality improvement principles and safety science starting in 2014 1 Liaison Committee on Medical Education – Interprofessional education and practice for improved patient safety 2 Patient Safety Deaths: 98,000  200,000 – 400,000 3 METHOD