ACCP Teaching Resources
ACCP CME Research Highlights - June, 2005
The Competent Institution
Gibson R. Accreditation Council for Graduate Medical Education Newsletter, April 2005
Overview: This article highlighted the following case scenario. A healthy 15-year-old patient was admitted to a sponsoring institution for elective surgery. He died 96 hours after admission from a perforated ulcer whose classic signs were missed by the residents and nurses who were caring for him over a weekend. His mother's repeated calls for an attending physician were ignored, and she watched as her son's condition deteriorated to the point of death. An astute observer of the activities in the hospital, noted afterward, "I question how much residents can learn in a place like this." People in the healing professions dedicate their lives to the care of patients. But the endeavor of healing is often torn asunder by events out of the control of the clinician. Why does this happen?
Methodology: Not Applicable
Limitation(s): Not Applicable
Teaching/Learning Implication: Many institutions are at the novice stage in unlearning dead habits. The good news is that a growing number of institutions are developing healthy habits that benefit patients, learners, and faculty. One place to start this process is by implementing the six interventions identified by the Institute for Health Care Improvement's 100,000 Lives Campaign launched in December 2004 and measuring results. These suggested interventions can significantly improve outcomes of hospitalized patients by doing the following and if we promote this in continuing medical educational curriculums: (1) rapid response teams; (2) delivery of evidence-based care for patients; (3) prevention of adverse drug events; and (4) evidence-based practices to prevent infections.
For more information on this article, go to http://www.acgme.org/acWebsite/bulletin/bu_index.asp |
