title: Mainstreaming risk management education into new resident and fellow orientation.
abstract: BACKGROUND
  Understanding patient safety events and causative factors is an important step in reducing preventable adverse events. The University of Michigan's Graduate Medical Education (GME) Office, Department of Risk Management (DRM), and Office of Clinical Affairs (OCA) collaborated to incorporate a video workshop as a formal introduction to patient safety during orientation for new residents and fellows. This workshop reinforced the importance of effective communication and supervision in patient safety.
  
  
  METHODS
  DRM and OCA produced a video depicting an actual, unanticipated outcome that resulted from a constellation of preventable circumstances, which allows the audience to observe communication and supervision issues that lead to a patient death. The video is followed by a discussion of the patient safety issues seen, why they occurred, and strategies for improvement. Trainee perceptions of the value of the experience were surveyed and collected using a qualitative survey.
  
  
  RESULTS
  Most responders found the video workshop helpful. Trainees perceived the video and facilitated discussion as an effective way to identify patient safety issues, available resources, and the culture of patient safety at the institution.
  
  
  CONCLUSIONS
  Trainee comments supported the video workshop as an effective way to highlight the importance of communication and supervision in relation to patient safety. In the future, the DRM, OCA, and GME hope to reinforce this shared vision of patient safety through combined educational efforts.
authors.forename: Eileen T
authors.initials: ET
authors.lastname: McMyler
authors.forename: Paula T
authors.initials: PT
authors.lastname: Ross
authors.forename: Kelly A
authors.initials: KA
authors.lastname: Saran
authors.forename: Anabel
authors.initials: A
authors.lastname: Urteaga-Fuentes
authors.forename: Susan G
authors.initials: SG
authors.lastname: Anderson
authors.forename: Richard C
authors.initials: RC
authors.lastname: Boothman
authors.forename: Monica L
authors.initials: ML
authors.lastname: Lypson