Patient Safety & High Value Care

Expectations

We hope that you will see safe, high value care modeled during your time on the medicine clerkship. There are a few formal activities you can participate in listed below. If you see a potentially unsafe practice or even a “near miss”, you are expected to complete a patient safety report (PSR) which you can do anonymously on EPIC. We also provide examples of many optional activities you can try to improve your skills in patient safety and HVC.

Teaching Activities

1. Morbidity and Mortality conference occurs once a month at UF Shands.

2. The VA and UF Jacksonville host patient safety rounds.

Attend a VA patient safety rounds which occur on Thursdays beginning at 1:00.  Please contact Jason Ringlehan, BSN, RN at 376-1611 ext. 6641 or Jason.ringlehan@va.gov.  Observe how an interprofessional team of nurses, industrial hygienists, environmental safety specialists, patient safety, and environmental care staff inspect the medical center environment to ensure that proper housekeeping, sanitation, and maintenance are being performed and areas are free of physical hazards; insure adherence to infection control standards; evaluate patients at risk for preventable adverse events. Students are also invited to attend the Medication Safety Committee meeting held Mondays at 11:00 a.m. .  Please contact Jason Ringlehan at Jason.ringlehan@va.gov if you are interested in attending this meeting.

Attend a Jacksonville “Rapid Response Patient Rounds”. If you are interested in attending, contact Cynthia Gerdik at cynthia.gerdik@jax.ufl.edu.

3. High value care: You have access to the entire Aquifer high value care curriculum You are required to complete cases 1 and 5.

References

“To Err is Human”, report from the Institute of Medicine

http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/1999/To-Err-is-Human/To%20Err%20is%20Human%201999%20%20report%20brief.pdf

This is a brief summary of the seminal report that drew the public’s attention to the issue of medical errors and consequently has driven the medical community to take more aggressive action to address this problem.

VA National Center for Patient Safety

http://www.patientsafety.va.gov/

This site gives a brief overview of root cause analysis.

Complications: A Surgeon’s Notes on an Imperfect Science, Atul Gawande, M.D. 2003, Picador, 288 pages.

This is an excellent, highly readable book written by Dr. Gawande when he was a surgical resident. He addresses many types of errors through the use of compelling stories. This was a NY Times notable book.