![]() 6 On a more local front, a survey of house staff at Thomas Jefferson University Hospital identified a lack of comfort with how to report an error and what to actually report as significant barriers to reporting, especially for learners in their first year of graduate training. The Accreditation Council for Graduate Medical Education clinical learning environment report found that few resident trainees appreciated the benefits of this practice. 4, 5 Unfortunately, resident and fellow physicians rarely submit incident reports. 1– 3 If effectively engaged, learners can provide critical information to better identify the drivers of patient harm. Students and residents are on the front lines of care, which demands training in pertinent safety practices including how to use voluntary error-reporting systems. Teaching patient safety and error reporting to graduate medical education audiences is challenging. We developed a simulation modeled on popular escape room activities to increase awareness of safety hazards and ensure familiarity with the actual online reporting system our interns will use in the clinical environment. ![]() Several factors contribute to a low error-reporting rate among house staff. The simulation was rated as relevant or highly relevant to practice by 96% of interns. Average confidence in ability to identify patient safety hazards improved after the simulation from 6.35 to 8.00 on a 10-point rating scale. Forty-one percent reported previous training on reporting errors, and only 5% had previously entered an event report. One hundred twenty interns participated in this simulation in June 2018. Props and faculty time were the major resources required. Interns from all sponsoring institution programs participated, identifying, mitigating, and reporting a range of patient safety hazards. ![]() We designed and implemented an escape room patient safety simulation to incorporate active learning, gamification, and adult learning theory into intern patient safety onboarding. ![]() Demonstrating the rationale and mechanics of reporting may improve this. Although residents are on the front lines of patient care, they enter few formal patient safety reports on the adverse events and near misses they witness. ![]()
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