the use of dramatic simulation in patient safety education or doc u drama n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
The Use of Dramatic Simulation in Patient Safety Education or “Doc-U-Drama” PowerPoint Presentation
Download Presentation
The Use of Dramatic Simulation in Patient Safety Education or “Doc-U-Drama”

Loading in 2 Seconds...

play fullscreen
1 / 17

The Use of Dramatic Simulation in Patient Safety Education or “Doc-U-Drama” - PowerPoint PPT Presentation


  • 573 Views
  • Uploaded on

The Use of Dramatic Simulation in Patient Safety Education or “Doc-U-Drama”. Margaret Kirkegaard, MD, MPH. Outline of Workshop. History of Doc-U-Drama Description of Doc-U-Drama Educational Rationale for Doc-U-Drama Evaluation data How to try Doc-U-Drama yourself

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'The Use of Dramatic Simulation in Patient Safety Education or “Doc-U-Drama”' - Ava


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
the use of dramatic simulation in patient safety education or doc u drama

The Use of Dramatic Simulation in Patient Safety Educationor “Doc-U-Drama”

Margaret Kirkegaard, MD, MPH

outline of workshop
Outline of Workshop
  • History of Doc-U-Drama
  • Description of Doc-U-Drama
  • Educational Rationale for Doc-U-Drama
  • Evaluation data
  • How to try Doc-U-Drama yourself
  • Doc-U-Drama with participants
history of doc u drama
History of Doc-U-Drama
  • Result of previous failure
  • Built on realization that our medical education system produces highly autonomous, perfectionistic residents who are inherently refractory to talking about medical errors: “no trust”
  • Goal is to open brains to the concept of systems theory and medical errors
description of doc u drama
Description of Doc-U-Drama
  • Scripts dramatizing real adverse events
  • Performed by learners
  • Followed by discussion
    • Usually starts with trying to assign blame then moves to recognition of complexity
educational rationale for doc u drama
Educational Rationale for Doc-U-Drama
  • Focuses on communication
  • Drama-based education techniques
  • Standardized patients
  • Simulation training, clinical (ACLS) and other high-tech industries
safety and communication
Safety and Communication
  • Overfocus on Content in healthcare
    • CPOE
    • Abbreviations
    • Computerized sign-outs
safety and communication1
Safety and Communication
  • Underfocus on Context and Process
    • Hierarchy
    • Interpersonal conflict
    • Role ambiguity
    • Lack of training
    • Fragmented communication
drama based education
Drama-based education
  • Used to teach about complex doctor and patient relationship issues
  • Engages the “players”
  • “Real” but anonymous
  • Evidence that it promotes empathy and attitude change
standardized patients
Standardized patients

AAMC Report, May 1998

  • 97% of all schools report using in some capacity
  • 80% of all schools use to teach doctor-patient communication skills
  • Focuses on individual doctor-pt communication rather than complex communication networks
doc u drama evaluation
Doc-U-Drama Evaluation
  • 69 total evaluations
  • Completed in four different settings
feedback
Feedback
  • “Fun!” 
  • “Great! Now how do we fix it?” 
  • “I worked on the pt safety committee at a major medical center. This was a really good lecture. The examples were very realistic. A couple were similar to incidents we had. Thank you.”
slide12

SA

%

A

%

N

%

D%

SD%

Doc-U-Drama is an effective way to learn about medical errors.

39

56

4

0

0

Doc-U-Drama is an effective way to see medical errors from the viewpoint of all the people involved.

45

51

3

1

0

Doc-U-Drama creates an emotionally comfortable environment in which to explore medical errors.

48

49

3

0

0

Doc-U-Drama is more effective than didactic presentations for learning about patient safety.

49

35

14

1

0

Doc-U-Drama effectively illustrates the complexities of our health care system.

46

45

9

0

0

benefits of doc u drama
Benefits of Doc-U-Drama
  • Emotionally safe
  • Explores complexity and communication patterns
  • Explores multiple perspectives
  • Fun, relaxed
  • Requires no prep time from participants
doc u drama format
Doc-U-Drama Format
  • 60 minutes to 3 hours
  • Classroom or conference room
  • Can use simple props or signs
  • 10-40 participants
  • Medical students, PA students, attendings, residents (JF has worked with interdisciplinary groups)
doc u drama format1
Doc-U-Drama Format
  • Brief introduction: IOM report
  • Discussion about why this is a “hard topic”
  • Bad apples vs swiss cheese demo
  • Doc-U-Drama
  • Discussions shifting from “bad apples” to “swiss cheese”
  • Include remediation techniques
  • One page handout or PDA memo
doc u drama focuses
Doc-U-Drama Focuses
  • Engaging or joining with learner: “This is hard stuff” (Marine technique)
  • Use group facilitation to promote learning
    • Eg: That’s an interesting idea, does anyone else have a different opinion?”
  • Promote “swiss cheese thinking”
conclusion
Conclusion
  • No real outcomes data
  • Fun, high energy
  • Use and adapt scripts
  • Create own scripts (JF found script writing to be an interdisciplinary pt safety learning exercise)