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Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program.

Publication ,  Journal Article
Turner, DA; Bae, J; Cheely, G; Milne, J; Owens, TA; Kuhn, CM
Published in: J Grad Med Educ
December 2018

BACKGROUND: Collaboration between graduate medical education (GME) and health systems is essential for the success of patient safety initiatives. One example is the development of an incentive program aligning trainee performance with health system quality and safety priorities. OBJECTIVE: We aimed to improve trainee safety event reporting and engagement in patient safety through a GME incentive program. METHODS: The incentive program was implemented to provide financial incentives to drive behavior and engage residents and fellows in safety efforts. Safety event reporting was measured beginning in the 2014-2015 academic year. A training module was introduced and the system reporting link was added to the institution's Resident Management System homepage. The number of reports by trainees was tracked over time, with a target of 2 reports per trainee per year. RESULTS: Baseline data for the year prior to implementation of the incentive program showed less than 0.5% (74 of 16 498) of safety reports were submitted by trainees, in contrast with 1288 reports (7% of institutional reports) by trainees in 2014-2015 (P < .0001). A total of 516 trainees (57%), from 37 programs, received payment for the metric, based on a predefined program target of a mean of 2 reports per trainee. In 2015-2016 and 2016-2017 the submission rate was sustained, with 1234 and 1350 reports submitted by trainees, respectively. CONCLUSIONS: An incentive program as part of a larger effort to address safety events is feasible and resulted in increased reporting by trainees.

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Published In

J Grad Med Educ

DOI

EISSN

1949-8357

Publication Date

December 2018

Volume

10

Issue

6

Start / End Page

671 / 675

Location

United States

Related Subject Headings

  • Risk Management
  • Quality Improvement
  • Physician Incentive Plans
  • Patient Safety
  • North Carolina
  • Internship and Residency
  • Humans
  • Education, Medical, Graduate
  • Academic Medical Centers
  • 3901 Curriculum and pedagogy
 

Citation

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Turner, D. A., Bae, J., Cheely, G., Milne, J., Owens, T. A., & Kuhn, C. M. (2018). Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program. J Grad Med Educ, 10(6), 671–675. https://doi.org/10.4300/JGME-D-18-00281.1
Turner, David A., Jonathan Bae, George Cheely, Judy Milne, Thomas A. Owens, and Catherine M. Kuhn. “Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program.J Grad Med Educ 10, no. 6 (December 2018): 671–75. https://doi.org/10.4300/JGME-D-18-00281.1.
Turner DA, Bae J, Cheely G, Milne J, Owens TA, Kuhn CM. Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program. J Grad Med Educ. 2018 Dec;10(6):671–5.
Turner, David A., et al. “Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program.J Grad Med Educ, vol. 10, no. 6, Dec. 2018, pp. 671–75. Pubmed, doi:10.4300/JGME-D-18-00281.1.
Turner DA, Bae J, Cheely G, Milne J, Owens TA, Kuhn CM. Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program. J Grad Med Educ. 2018 Dec;10(6):671–675.

Published In

J Grad Med Educ

DOI

EISSN

1949-8357

Publication Date

December 2018

Volume

10

Issue

6

Start / End Page

671 / 675

Location

United States

Related Subject Headings

  • Risk Management
  • Quality Improvement
  • Physician Incentive Plans
  • Patient Safety
  • North Carolina
  • Internship and Residency
  • Humans
  • Education, Medical, Graduate
  • Academic Medical Centers
  • 3901 Curriculum and pedagogy