TY - JOUR T1 - Florida Hospital, Orlando, FL<br/>Advancing Patient Safety Education Through a Systematic Mortality Learning Program JF - Ochsner Journal JO - Ochsner J SP - 22 LP - 23 VL - 16 IS - Spec AIAMC Iss AU - Victor Herrera AU - Joseph Portoghese Y1 - 2016/03/20 UR - http://www.ochsnerjournal.org/content/16/Spec_AIAMC_Iss/22.abstract N2 - Background: A need to improve the teaching of patient safety in GME exists. Traditional formats such as lectures have not been effective in engaging residents in a patient safety culture. Case-based and experiential learning have demonstrated the capacity to advance skills and change behaviors.Methods: We developed a structured curriculum employing case-based exercises and interactive delivery of content using the Florida Hospital Mortality Review Program as a framework. Residents assigned to plan a mortality and morbidity presentation participated in 2 phases of training under faculty supervision, with emphasis on patient safety education and learning of the IHI Global Trigger Tool for Measuring Adverse Events methodology as it relates to mortality reviews.Results: A structured, evidence-based methodology based on the hospital mortality review program provided an effective framework to teach patient safety. Resident engagement was facilitated by using real morbidity and mortality cases.Conclusions: Mortality review programs offer an opportunity to train residents on principles of patient safety and high reliability. A clinical triggers methodology that measures and tracks adverse events provides a framework to deliver the content using a case-based and interactive format.View this table:FINAL WORK PLAN – Florida Hospital ER -