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

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.Stu...

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Main Authors: Charles Vincent, Nick Sevdalis, Sonal Arora, Paul Baker, Matthew A Kirkman, Maria Ahmed
Format: Article
Language:English
Published: BMJ Publishing Group 2015-05-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/5/5/e007705.full
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author Charles Vincent
Nick Sevdalis
Sonal Arora
Paul Baker
Matthew A Kirkman
Maria Ahmed
author_facet Charles Vincent
Nick Sevdalis
Sonal Arora
Paul Baker
Matthew A Kirkman
Maria Ahmed
author_sort Charles Vincent
collection DOAJ
description 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.
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spelling doaj-art-4c123e8f788b4b079d9bc9a861004b732025-02-01T17:00:09ZengBMJ Publishing GroupBMJ Open2044-60552015-05-015510.1136/bmjopen-2015-007705The outcomes of recent patient safety education interventions for trainee physicians and medical students: a systematic reviewCharles Vincent0Nick Sevdalis1Sonal Arora2Paul Baker3Matthew A Kirkman4Maria Ahmed5Department of Experimental Psychology, University of Oxford, Oxford, UKCentre for Behavioural and Implementation Science Interventions, National University of Singapore Yong Loo Lin School of Medicine, Singapore1 Department of Surgery and Cancer, Imperial College London, London, UKDepartment of Orthopaedics, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UKDepartment of Neurosurgery, Imperial College Healthcare NHS Trust, London, UKCentre for Primary Care, NIHR School for Primary Care Research, Manchester Academic Health Science Centre, University of Manchester, Manchester, UKObjective 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.https://bmjopen.bmj.com/content/5/5/e007705.full
spellingShingle Charles Vincent
Nick Sevdalis
Sonal Arora
Paul Baker
Matthew A Kirkman
Maria Ahmed
The outcomes of recent patient safety education interventions for trainee physicians and medical students: a systematic review
BMJ Open
title The outcomes of recent patient safety education interventions for trainee physicians and medical students: a systematic review
title_full The outcomes of recent patient safety education interventions for trainee physicians and medical students: a systematic review
title_fullStr The outcomes of recent patient safety education interventions for trainee physicians and medical students: a systematic review
title_full_unstemmed The outcomes of recent patient safety education interventions for trainee physicians and medical students: a systematic review
title_short The outcomes of recent patient safety education interventions for trainee physicians and medical students: a systematic review
title_sort outcomes of recent patient safety education interventions for trainee physicians and medical students a systematic review
url https://bmjopen.bmj.com/content/5/5/e007705.full
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