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The outcomes of recent patient safety education interventions for trainee physicians and medical students: a systematic review

Title: The outcomes of recent patient safety education interventions for trainee physicians and medical students: a systematic review
Authors: Kirkman, MA
Sevdalis, N
Arora, S
Baker, P
Vincent, C
Ahmed, M
Item Type: Journal Article
Abstract: Objective To systematically review the latest evidence for patient safety education for physicians in training and medical students, updating, extending and improving on a previous systematic review on this topic. Design A systematic review. Data sources Embase, Ovid Medline and PsycINFO databases. Study selection Studies including an evaluation of patient safety training interventions delivered to trainees/residents and medical students published between January 2009 and May 2014. Data extraction The review was performed using a structured data capture tool. Thematic analysis also identified factors influencing successful implementation of interventions. Results We identified 26 studies reporting patient safety interventions: 11 involving students and 15 involving trainees/residents. Common educational content included a general overview of patient safety, root cause/systems-based analysis, communication and teamwork skills, and quality improvement principles and methodologies. The majority of courses were well received by learners, and improved patient safety knowledge, skills and attitudes. Moreover, some interventions were shown to result in positive behaviours, notably subsequent engagement in quality improvement projects. No studies demonstrated patient benefit. Availability of expert faculty, competing curricular/service demands and institutional culture were important factors affecting implementation. Conclusions There is an increasing trend for developing educational interventions in patient safety delivered to trainees/residents and medical students. However, significant methodological shortcomings remain and additional evidence of impact on patient outcomes is needed. While there is some evidence of enhanced efforts to promote sustainability of such interventions, further work is needed to encourage their wider adoption and spread.
Issue Date: 20-May-2015
Date of Acceptance: 16-Apr-2015
URI: http://hdl.handle.net/10044/1/41249
DOI: http://dx.doi.org/10.1136/bmjopen-2015-007705
ISSN: 2044-6055
Publisher: BMJ Publishing Group
Journal / Book Title: BMJ Open
Volume: 5
Issue: 5
Copyright Statement: 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 and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Sponsor/Funder: Imperial College Healthcare NHS Trust
Funder's Grant Number: RDPSC 79560
Keywords: Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
QUALITY IMPROVEMENT
HEALTH-CARE
CURRICULUM
PROGRAM
ATTITUDES
ERRORS
KNOWLEDGE
BEHAVIOR
SKILLS
INTENTIONS
Education
Medical students
Patient safety
Physician trainees
Residents
Clinical Competence
Education, Medical, Graduate
Education, Medical, Undergraduate
Health Knowledge, Attitudes, Practice
Humans
Patient Safety
Safety Management
Publication Status: Published
Article Number: e007705
Appears in Collections:Division of Surgery
Faculty of Medicine



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