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A Patient Safety Champion Program for Interprofessional Health Care Educators: Implementation and Outcomes
Mariko Nowicki1, Benjamin W Berg, Yuito Okada
1Dr. Nowicki: Adjunct Faculty, School of Nursing and Health Professions, Chaminade University of Honolulu, Honolulu, HI; previous affiliation Education Specialist/International Program Coordinator at SimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii where the project was completed, and Founder and Co-President, Japan Pacific Healthcare Alliance, Nara, Japan. Dr. Berg: Professor of Medicine and Director of Simulation at SimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI. Mr. Okada: Graduate Research Associate, Epidemiology, University of Hawaii Cancer Center, Honolulu, HI. Dr. Yagi: Adjunct lecture, Medical Education Center, Jichii Medical University, Tochigi, Japan, and Research Fellow, SimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI. Dr. Tomisawa: Professor, Department of Nursing Sciences, Hirosaki University Graduate School of Health Sciences, Aomori, Japan. Dr. Kawahara: Senior Assistant Professor, Simulation Center, Aichi Medical University, Aichi, Japan. Dr. Ouchi: Lecturer, School of Medicine, University of the Ryukyus, Okinawa, Japan, and Adjunct Assistant Professor, SimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii. Dr. Moritoki: Associate Professor (specially-appointed), Center for Medical Education and Training, Akita University Hospital, Akita, Japan, and Adjunct Assistant Professor, SimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii. Dr. Otori: Professor, School of Pharmacy, Kindai University, Osaka, Japan, and Founder and Co-President, Japan Pacific Healthcare Alliance.
Introduction:
Health care educators are challenged with helping clinicians develop competencies beyond their foundational training. In health care systems where continuing professional development is not integral to practice, clinicians may have few opportunities. We describe the design, implementation, and evaluation of a professional development program in patient safety for Japanese clinical educators to acquire simulation instructional skills and become Patient Safety Champions at their organizations.
Methods:
Mixed methods were used in a longitudinal pre/post study design. The Kirkpatrick evaluation model was used to evaluate outcomes of a workshop, overall program, on-site training experiences, and impact as Patient Safety Champions. Self-assessment data on skills and knowledge of patient safety, simulation instructional methods, interprofessional collaboration, and leadership were collected and analyzed.
Results:
Eighty-nine percent of participants facilitated on-site patient safety training within 6 months of workshop completion. Skills and knowledge improvement were observed immediately postworkshop in four categories: patient safety, simulation instructional methods, interprofessional collaboration and communication, and leadership as a patient safety champion. Skills and knowledge increased at 6 months after facilitation of on-site safety training. Program mean satisfaction scores ranged from 84% to 92%. Mean Patient Safety Champion in-facility evaluations were 4.2 to 4.7 on a 5-point scale.
Discussion:
High levels of knowledge, skill retention, and behavior change are attributed to goal setting, outcome-oriented pedagogy, and reflective sessions. The Patient Safety Champion model and experiential learning approach gave Japanese clinical educators in medicine, nursing, and pharmacy an opportunity to learn from each other in simulations reflecting the practice environment.
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