The Use of Dramatic Simulation in Patient Safety Education or Doc-U-Drama

1. The Use of Dramatic Simulation in Patient Safety Educationor �Doc-U-Drama� Margaret Kirkegaard, MD, MPH

2. 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

3. 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

4. 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

5. Educational Rationale for Doc-U-Drama Focuses on communication Drama-based education techniques Standardized patients Simulation training, clinical (ACLS) and other high-tech industries

6. Safety and Communication Overfocus on Content in healthcare CPOE Abbreviations Computerized sign-outs

7. Safety and Communication Underfocus on Context and Process Hierarchy Interpersonal conflict Role ambiguity Lack of training Fragmented communication

8. 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

9. 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

10. Doc-U-Drama Evaluation 69 total evaluations Completed in four different settings

11. 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.�

The Use of Dramatic Simulation in Patient Safety Education or Doc-U-Drama

The Use of Dramatic Simulation in Patient Safety Education or Doc-U-Drama

Presentation Transcript

Doc-U-Lok

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

Computer Initiatives in Patient Education: The Patient Education for U Project

The ABCs of Patient Safety

MEDICAL SIMULATION IN IMPROVING PATIENT SAFETY

Introduction to Drama and Dramatic Theory

SYN:APSE Simulation at Yale New Haven: Advancing Patient Safety and Education

The role of Informatics in Patient Safety

Medical Education and Patient Safety

of Patient Safety

Dramatic use of Silence

Health Profession Education for Patient Safety” Blink or Think?

THE SCIENCE OF PATIENT SAFETY

The State of the Evidence in Patient Safety

Simulation of U + U Collision

Use of the UMLS in Patient Care

Patient Safety in the AMEDD

Patient Safety in the VA

Patient in OR

Safety in the OR

Health Profession Education for Patient Safety” Blink or Think?

Simulation Teaching & Patient Safety

The Use of Dramatic Simulation in Patient Safety Education or Doc-U-Drama