How Should Surgical Residents Be Educated About Patient Safety
1 other identifier
interventional
58
0 countries
N/A
Brief Summary
The purpose of this study is to compare the effectiveness of two methods, safety curriculum in addition to online training alone, for teaching patient safety to surgery residents. Despite multiple studies evaluating educational safety curricula, the best methods for teaching residents about patient safety is unknown. It is hypothesized that empowering surgery residents to actively engage in behaviors to increase patient safety may lead to a higher quality perioperative care and communication.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Feb 2014
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2014
CompletedFirst Submitted
Initial submission to the registry
March 23, 2015
CompletedFirst Posted
Study publicly available on registry
March 30, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2015
CompletedOctober 30, 2017
October 1, 2017
1.5 years
March 23, 2015
October 26, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Changes in safety culture as measured by the Safety Attitudes Questionnaire (SAQ)
Baseline, One year
Secondary Outcomes (1)
Learner satisfaction, knowledge, and behaviors as measured by the Oxford Non-Technical Skills (NOTECHS) system
One year
Study Arms (2)
Online training
ACTIVE COMPARATORResidents randomized to the control group will only participate in the Breakthroughs in Patient Safety (BIPS) online training (Education - BIPS course). All residents in the comparison arm will receive evaluations on their non-technical skills, but the results will not be fed back to them until after the study has been completed.
Online training & Safety curriculum & Evaluation and feedback
EXPERIMENTALThose in the intervention group will participate in a formal safety education curriculum in addition to the currently required Breakthroughs in Patient Safety (BIPS) online training. The intervention will have three components: (1) the mandatory online BIPS course (Education - BIPS course), (2) the formal safety curriculum, and (3) ongoing evaluation and feedback of operating room performance.
Interventions
The guiding principles behind the BIPS program include: (1) explaining how complex systems cause human error and how human error can lead to patient harm in complex systems; (2) diagnosing human error and identifying a prevention behavior for each of the three types: skill, rule, and knowledge; and (3) preventing error by promoting safety behaviors, such as having attention to detail, communicating clearly, having a questioning attitude, and speaking up for safety
The educational program is designed to improve patient safety by informing residents about safe operating room behaviors.
The feedback program is designed to encourage the use of safe behaviors and to discourage unsafe behaviors taught in the workshops.
Eligibility Criteria
You may qualify if:
- All surgery residents at the University of Texas Health Science Center at Houston, from post-graduate year (PGY)-1 to PGY-5.
You may not qualify if:
- Non-surgery residents at the University of Texas Health Science Center at Houston.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor & The Children's Fund, Inc. Distinguished Professorship in Pediatric Surgery
Study Record Dates
First Submitted
March 23, 2015
First Posted
March 30, 2015
Study Start
February 1, 2014
Primary Completion
August 1, 2015
Study Completion
August 1, 2015
Last Updated
October 30, 2017
Record last verified: 2017-10