In this module, team members will engage in structured discussions on patient safety and error reporting, using a "serious game" learning tool that has been co-designed with input from health professionals, patients, and researchers. Teams will explore and build their shared understanding of the importance of error reporting in strengthening patient safety culture.
Click on the button below to download the Talking about safety module package, which contains detailed information including instructions on how to run the workshop session, and facilitator notes.
Note: This module uses the PlayDecide: Patient Safety "serious game" learning tool which should be downloaded and printed beforehand. Please click here to visit the PlayDecide: Patient Safety website where you can download the learning tool.
Please click the links below to download a modified version of this module which teams can use to conduct sessions via video conferencing rather than in-person.
Talking About Safety remote session outline
Talking About Safety remote handouts
When running this remote module, participants may need to be separated into sub-groups for discussions. Please view this brief video conferencing note for guidance on how to do this.
Note that your organisation may have policies on which video conferencing tools are permitted to be used.
This module will give participants a broader understanding of barriers and enablers of error reporting, by discussing complex scenarios based on real-world patient safety events and sharing their own lived experiences. After taking part in the session, team members will have a strengthened awareness of the importance of error reporting, and they will have built a shared consensus position on the responsibility of team members to report errors.
1 team member is required as a facilitator for each group of 4 - 8 participants, to guide discussions and ensure everyone has the opportunity to contribute.
The session is structured as follows:
- Introduction (5 minutes)
- Video (5 minutes)
- PlayDecide: Patient Safety game (50 minutes)
- Close of session (5 minutes)
Error reporting and speaking up about safety are important components of medical professionalism and patient safety culture.1 However, there are numerous challenges to good error reporting practice, such as fear of retribution, thinking that someone else is dealing with the problem, and a belief that reporting problems would be futile.2 By encouraging discussion and building consensus around the benefits of error reporting, teams and institutions can improve patient safety culture.
References
- Health Information and Quality Authority. National Standards for Safer Better Healthcare. Dublin: Health Information and Quality Authority, 2012.
- Rafter N, Hickey A, Conroy RM, et al. The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals-a retrospective record review study. BMJ Qual Saf 2017;26:111–9.doi:10.1136/bmjqs-2015-004828