Revealing evidence of certain gaps in patient safety education for residents and fellows nationwide, a recent American Medical Association (AMA) report highlights the need to clarify both definitions and procedures for the benefit of practitioners in training.
Based on observations gathered
on site, the AMA recommended more consistent hands-on learning with less reliance
on instruction alone. It suggested implementation of improvements through the
Accreditation Council for Graduate Medical Education's Clinical Learning Environment Review (CLER) Program, a
system designed to enhance feedback in CLE training such as patient safety,
care quality and professionalism.
The recent report entitled CLER "National Report
of Findings 2016" demonstrated a dearth of practical understanding of
patient safety events among doctors in training; not only misunderstood by
definition, but also lacking in actual application of the knowledge.
In addition, those residents and
fellows who used the procedures seldom obtained feedback on their
Consequently, the AMA now advises
five concrete improvements for the medical community to implement. First,
medical trainees must have access to the CLE's systems to report
patient safety events. Secondly, they require orientations with ongoing procedural
Third, the AMA recommends imparting the critical importance
of documenting "close calls." Fourth, encourage feedback on specific reported
events; and finally, remember to keep the faculty on the cusp of new developments
so that members can remain capable of proper risk detection and reduction
of harm, advancing the CLE's efforts to create a culture of quality and
AMA prioritizes safety protocols for trainees
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