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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Online training | Active Comparator | Residents 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. |
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| Online training & Safety curriculum & Evaluation and feedback | Experimental | Those 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. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Education - BIPS course | Behavioral | 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in safety culture as measured by the Safety Attitudes Questionnaire (SAQ) | Baseline, One year |
| Measure | Description | Time Frame |
|---|---|---|
| Learner satisfaction, knowledge, and behaviors as measured by the Oxford Non-Technical Skills (NOTECHS) system | One year |
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Inclusion Criteria:
Exclusion Criteria:
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| Formal safety curriculum | Behavioral | The educational program is designed to improve patient safety by informing residents about safe operating room behaviors. |
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| Ongoing evaluation and feedback | Behavioral | The feedback program is designed to encourage the use of safe behaviors and to discourage unsafe behaviors taught in the workshops. |
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