Using Patient Safety Narratives to Teach Core Competencies

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Using Patient Safety Narratives to Teach Core
Competencies

• Paul Barach, MD, MPH
• Julie J. Mohr, MSPH, PhD
• University of Chicago
• December 7, 2002

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Aims of Todays session

• Recognize the value of stories and storytelling
• Provide participants with a framework for
  exploring patient safety narratives
• Provide a resource guide for patient safety tools

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Patient Safety Narrative

• Read transcript from the residents story
• Listen to excerpts from the audio tape
• Small Group Exercise
• Discuss the narrative with one or two others
• Identify system failures and successes as evident
  in the narrative
• Complete the worksheet by assigning each success
  and failure to one of the system properties

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Debriefing

• What are the implications of the analysis for
  systems based practice and practice based
  learning and improvement?
• How can you apply this in your setting?
• Should ACGME require residency proficiency in
  storytelling, debriefing, and narrative analysis?

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Injury Epidemiology Applied to Patient Safety

• Haddon Matrix

Haddon J. A logical framework for categorizing
highway safety phenomena and activity. J Trauma
197212197.
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Haddon Matrix
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Haddon Matrix and Patient Safety
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Patient Safety Tools
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Thank You