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A National Patient Safety Curriculum in Pediatric Emergency Medicine

Stankovic, Curt MD, MBA*,†; Wolff, Meg MD; Chang, Todd P MD§; Macias, Charles MD, MPH

doi: 10.1097/PEC.0000000000001533
Original Articles

Background Patient safety has become an important and required topic in medical education. A needs assessment showed that pediatric emergency medicine program directors were interested in a common pediatric emergency-specific safety curriculum.

Objective The objective of this study was to describe the development and performance of a web-based patient safety curriculum in pediatric emergency medicine.

Methods A web-based curriculum was created by the Committee on Quality Transformation of the Section of Emergency Medicine for the American Academy of Pediatrics. The curriculum consisted of emergency-specific safety topic didactic sessions with a pretest and posttest assessment. Vignette-based scenarios were also included and were discussed locally by the program directors.

Results Fifty-two percent (37/71) of US Pediatric Emergency Medicine fellowship programs enrolled their fellows in the patient safety curriculum. Overall, 183 Pediatric Emergency Medicine fellows participated in the curriculum. Only 22% (40/183) of fellow participants completed the entire curriculum. The curriculum showed significant improved safety knowledge based upon the pretest and posttest results. Sixty-five percent of responders thought more about safety topics after the curriculum was completed, and 85% witnessed a safety event in the past month, whereas only 48% reported them.

Conclusions An online centralized curriculum is an effective platform for teaching content in quality and safety to a national group of physicians. Local oversight by program directors may improve compliance with curriculum completion.

From the *Division of Emergency Medicine, Children’s Hospital of Michigan

Wayne State University, Detroit

Department of Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI

§Children’s Hospital of Los Angeles, Los Angeles, CA

Section of Emergency Medicine, Center for Clinical Effectiveness and Evidence Based Outcomes Center, Texas Children’s Hospital, Baylor College of Medicine, Houston, TX.

Disclosure: The authors declare no conflict of interest.

Reprints: Curt Stankovic, MD, MBA, Division of Emergency Medicine, Children's Hospital of Michigan (e-mail:

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (

Online date: August 16, 2018

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