Advertisement

Design of a Fellowship Learning-by-Teaching Experience for Reflecting on Safety and Change

  • Timothy ArnoldEmail author
  • Helen J. A. FullerEmail author
  • Tandi M. BagianEmail author
  • William P. GunnerEmail author
Conference paper
  • 20 Downloads
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 1205)

Abstract

Leading change is a common topic covered in patient safety curricula. This paper describes the design of learning sessions that expand on this topic to more general concepts of safety and change across disciplines studying safety. The learning sessions were designed to be co-produced by fellows and faculty and to be thought of as an emerging phenomenon to accommodate an interprofessional class with a variety of expertise and knowledge. Cross-curricular connections were emphasized to facilitate discussion into potential interconnectedness and to identify inconsistencies. The resultant design provided the flexibility for customizing to each unique class. Future learning sessions will introduce concepts in resiliency and cognitive systems engineering while connecting to the sessions described here.

Keywords

Patient safety Education Human factors Diffusion of innovation 

Notes

Acknowledgments

We would like to thank everybody at the Veterans Health Administration National Center for Patient Safety, patient safety fellows and fellowship faculty for their commitment to patient safety. Also, we thank B.V. Watts for providing the academic framework and leading past learning activities towards a collective understanding of these concepts. There were no relevant financial relationships or any source of support in the forms of grants, equipment, or drugs. The authors declare no conflict of interest. The opinions expressed in this article are those of the authors and do not necessarily represent those of the Department of Veterans Affairs.

References

  1. 1.
    Watts, B.V., Williams, L., Mills, P.D., Paull, D.E., Cully, J.A., Gilman, S.C., Hemphill, R.R.: Curriculum development and implementation of a national interprofessional fellowship in patient safety. J. Patient Saf. 14(3), 127–132 (2013)CrossRefGoogle Scholar
  2. 2.
    World Health Organization: Patient Safety Curriculum Guide: Multi-Professional Edition (2011)Google Scholar
  3. 3.
    Abookire, S.A., Gandhi, T.K., Kachalia, A., Sands, K., Mort, E., Bommarito, G., Gagne, J., Sato, L., Weingart, S.N.: Creating a fellowship curriculum in patient safety and quality. Am. J. Med. Qual. 31(1), 27–30 (2016)CrossRefGoogle Scholar
  4. 4.
    Rogers, E.M.: Diffusion of Innovation, 5th edn. Free Press, New York (2003)Google Scholar
  5. 5.
    Tamir, D.I., Mitchell, J.P.: Disclosing information about the self is intrinsically rewarding. Proc. Natl. Acad. Sci. 109(21), 8038–8043 (2012)CrossRefGoogle Scholar
  6. 6.
    Fuller, H.J., Arnold, T., Lightner, N., Bagian, T.: The impacts on patient safety of changes in the design of medical products and devices used in patient care settings. In: International Conference on Applied Human Factors and Ergonomics, pp. 226–233. Springer, Cham (2018)Google Scholar
  7. 7.
    Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P., Kyriakidou, O.: Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q. 82(4), 581–629 (2004)CrossRefGoogle Scholar
  8. 8.
    Rogers, E.M.: Diffusion of Innovation, 3rd edn. Free Press, New York (1983)Google Scholar
  9. 9.
    Hollnagel, E.: Human factors/ergonomics as a systems discipline? “The human use of human beings” revisited. Appl. Ergon. 45(1), 40–44 (2014)CrossRefGoogle Scholar
  10. 10.
    Litaker, D., Tomolo, A., Liberatore, V., Stange, K.C., Aron, D.: Using complexity theory to build interventions that improve health care delivery in primary care. J. Gen. Intern. Med. 21(2), S30 (2006)CrossRefGoogle Scholar
  11. 11.
    National Academies of Sciences, Engineering, and Medicine: How People Learn II: Learners, Contexts, and Cultures. The National Academies Press, Washington, DC (2018)Google Scholar
  12. 12.
    Nemeth, C.P.: Adapting to change and uncertainty: CSE 25 years after. In: Proceedings of the Human Factors and Ergonomics Society Annual Meeting, vol. 52, no. 4, pp. 307–308. SAGE Publications, Los Angeles (2008)Google Scholar
  13. 13.
    Sujan, M.A., Furniss, D., Anderson, J., Braithwaite, J., Hollnagel, E.: Resilient health care as the basis for teaching patient safety–a safety-II critique of the world health organisation patient safety curriculum. Saf. Sci. 118, 15–21 (2019)CrossRefGoogle Scholar
  14. 14.
    Militello, L.G., Dominguez, C.O., Lintern, G., Klein, G.: The role of cognitive systems engineering in the systems engineering design process. Syst. Eng. 13(3), 261–273 (2010)Google Scholar

Copyright information

© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.National Center for Patient SafetyAnn ArborUSA
  2. 2.College of PharmacyUniversity of MichiganAnn ArborUSA
  3. 3.Department of SurgeryThe George Washington UniversityWashington DCUSA

Personalised recommendations