Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship

Health systems in low-income and middle-income countries (LMICs) have a high burden of medical errors and complications, and the training of local experts in patient safety is critical to improve the quality of global healthcare. This analysis explores our experience with the Duke Global Health Pati...

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Main Authors: J Bryan Sexton, Bria E Johnston, Randall Lou-Meda, Sindy Mendez, Karen Frush, Judy Milne, Tamara Fitzgerald, Henry Rice
Format: Article
Language:English
Published: BMJ Publishing Group 2019-02-01
Series:BMJ Global Health
Online Access:https://gh.bmj.com/content/4/1/e001220.full
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author J Bryan Sexton
Bria E Johnston
Randall Lou-Meda
Sindy Mendez
Karen Frush
Judy Milne
Tamara Fitzgerald
Henry Rice
author_facet J Bryan Sexton
Bria E Johnston
Randall Lou-Meda
Sindy Mendez
Karen Frush
Judy Milne
Tamara Fitzgerald
Henry Rice
author_sort J Bryan Sexton
collection DOAJ
description Health systems in low-income and middle-income countries (LMICs) have a high burden of medical errors and complications, and the training of local experts in patient safety is critical to improve the quality of global healthcare. This analysis explores our experience with the Duke Global Health Patient Safety Fellowship, which is designed to train clinicians from LMICs in patient safety, quality improvement and infection control. This intensive fellowship of 3–4 weeks includes (1) didactic training in patient safety and quality improvement, (2) experiential training in patient safety operations, and (3) mentorship of fellows in their home institution as they lead local safety programmes. We have learnt several lessons from this programme, including the need to contextualise training to local needs and resources, and to focus training on building interdisciplinary patient safety teams. Implementation challenges include a lack of resources and data collection systems, and limited recognition of the role of safety in global health contexts. This report can serve as an operational guide for intensive training in patient safety that is contextualised to global health challenges.
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spelling doaj-art-f99896bfed4a4a24a97558777bc4c4742024-12-15T03:10:07ZengBMJ Publishing GroupBMJ Global Health2059-79082019-02-014110.1136/bmjgh-2018-001220Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety FellowshipJ Bryan Sexton0Bria E Johnston1Randall Lou-Meda2Sindy Mendez3Karen Frush4Judy Milne5Tamara Fitzgerald6Henry Rice76 Duke Center for Healthcare Safety and Quality, Duke University Health System, Durham, North Carolina, USA1 Surgery and Global Health, Duke University Medical Center, Durham, North Carolina, USA5 Pediatric Nephrology Unit/Fundanier, Roosevelt Hospital of Guatemala, Guatemala City, Guatemala2 Roosevelt Hospital of Guatemala, Guatemala City, Guatemala3 Pediatrics, Duke University Medical Center, Durham, North Carolina, USA4 Patient Safety Office, Duke University Medical Center, Durham, North Carolina, USA5 Pediatric Surgery, Duke University Hospital, Durham, North Carolina, USA1 Surgery and Global Health, Duke University Medical Center, Durham, North Carolina, USAHealth systems in low-income and middle-income countries (LMICs) have a high burden of medical errors and complications, and the training of local experts in patient safety is critical to improve the quality of global healthcare. This analysis explores our experience with the Duke Global Health Patient Safety Fellowship, which is designed to train clinicians from LMICs in patient safety, quality improvement and infection control. This intensive fellowship of 3–4 weeks includes (1) didactic training in patient safety and quality improvement, (2) experiential training in patient safety operations, and (3) mentorship of fellows in their home institution as they lead local safety programmes. We have learnt several lessons from this programme, including the need to contextualise training to local needs and resources, and to focus training on building interdisciplinary patient safety teams. Implementation challenges include a lack of resources and data collection systems, and limited recognition of the role of safety in global health contexts. This report can serve as an operational guide for intensive training in patient safety that is contextualised to global health challenges.https://gh.bmj.com/content/4/1/e001220.full
spellingShingle J Bryan Sexton
Bria E Johnston
Randall Lou-Meda
Sindy Mendez
Karen Frush
Judy Milne
Tamara Fitzgerald
Henry Rice
Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship
BMJ Global Health
title Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship
title_full Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship
title_fullStr Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship
title_full_unstemmed Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship
title_short Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship
title_sort teaching patient safety in global health lessons from the duke global health patient safety fellowship
url https://gh.bmj.com/content/4/1/e001220.full
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