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Just Culture for Medical Students: Understanding Response to Providers in Adverse Events.


ABSTRACT:

Introduction

Individual and organizational response to an adverse event is a key part of the life cycle of a patient safety event. Just culture is a safety concept that emphasizes system drivers of human behavior. We developed a learning activity for medical students to teach and discuss just culture as part of a patient safety curriculum.

Methods

This small-group, discussion-based learning activity was aimed at third-year medical students. Over 5 years, 628 students participated in it. The session had three components: a presession case-based survey, a didactic lecture, and a facilitated small-group discussion. Participants evaluated the session using our institution's standard learner assessment. They also took a postcourse test that contained multiple-choice questions relating to the session.

Results

On a 5-point Likert scale (1 = poor, 3 = good, 5 = excellent), students rated the large-group lecture (3.2) and small-group discussion (3.2) moderately. Over 85% of students answered all knowledge items on a course posttest correctly.

Discussion

This learning activity provides an easy-to-implement case-based discussion to introduce the concepts of just culture.

SUBMITTER: Shah BJ 

PROVIDER: S-EPMC8266940 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature

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Publications

Just Culture for Medical Students: Understanding Response to Providers in Adverse Events.

Shah Brijen J BJ   Portnoy Bonnie B   Chang Dennis D   Napp Marc M  

MedEdPORTAL : the journal of teaching and learning resources 20210709


<h4>Introduction</h4>Individual and organizational response to an adverse event is a key part of the life cycle of a patient safety event. Just culture is a safety concept that emphasizes system drivers of human behavior. We developed a learning activity for medical students to teach and discuss just culture as part of a patient safety curriculum.<h4>Methods</h4>This small-group, discussion-based learning activity was aimed at third-year medical students. Over 5 years, 628 students participated  ...[more]

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