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A 'PEaRL' of Support and Cooperative Learning: A Pilot Study Shifting the Sands of the Dreaded Morbidity and

Sarah C Yale1, Kelsey Porada2, Patrick J McCarthy2

  • 1Department of Pediatrics, Section of Hospital Medicine Medical College of Wisconsin, Milwaukee, Wisconsin, syale@mcw.edu.

WMJ : Official Publication of the State Medical Society of Wisconsin
|May 8, 2024
PubMed

Insights

Clinicians facing poor patient outcomes experience distress, but the Pediatric Event Review and Learning (PEaRL) curriculum offers a supportive, structured approach. This new method improves psychological well-being and patient safety discussions.

Area of Science:

  • Medical Education
  • Patient Safety
  • Clinical Psychology

Background:

  • Clinicians experience significant emotional distress, including guilt and fear, following adverse patient events.
  • Traditional morbidity and mortality conferences can exacerbate these negative emotions.

Purpose of the Study:

  • To introduce and evaluate the Pediatric Event Review and Learning (PEaRL) curriculum.
  • To foster a supportive environment for discussing poor patient outcomes.
  • To reinforce patient safety principles.

Main Methods:

  • Development of the PEaRL curriculum.
  • Quarterly case-based sessions were implemented.
  • Pre- and post-implementation evaluations were conducted.

Main Results:

  • All clinicians reported negative impacts on mood and well-being due to poor patient outcomes.
  • Post-PEaRL implementation, significantly more clinicians felt supported.
  • A safe environment and structured format for discussing outcomes were more frequently endorsed after implementation.

Conclusions:

  • The PEaRL curriculum effectively addresses the emotional needs of clinicians.
  • It provides a structured platform for discussing challenging patient outcomes.
  • The curriculum enhances patient safety by promoting open dialogue and support.
Abstract

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