Patient Safety and Quality Improvement Education for Paramedics: Peacticing What We Preach

Our patients expect and deserve safe, high-quality care. Paramedics have a personal responsibility for providing safe care, regardless of previous education or regulatory framework. The onus is on us all to ensure that paramedics are adequately prepared to address this responsibility

Patient Safety and Quality Improvement Education for Paramedics

The Institute for Healthcare Improvement (IHI) Open School offers a series of online patient safety and quality improvement courses, which are free to students and faculty members of all health professions.https://first.fanshawec.ca/cri_ridposters/1004/thumbnail.jp

Empathy Levels in Canadian Paramedic Students: A Longitudinal Study

BackgroundEmpathy in healthcare delivery is an essential component to providing high-quality patient care. Empathy in paramedics and paramedic students has been subject to limited study to date. This study aimed to determine the empathy levels demonstrated by first year paramedic students over the course of their first year of study.MethodsThis study employed a longitudinal design of a convenience sample of first year paramedic students in a community college program in Ontario, Canada. The Medical Condition Regard Scale (MCRS) was used to measure empathy levels across four medical conditions: intellectual disability, suicide attempt, substance abuse and mental health emergency. Surveys were conducted three times approximately 2-3 months apart; before first semester field placements (Nov/17), after first semester field placements (Jan/18) and near the end of second semester field placements (Mar/18).ResultsA total of 20 students completed all three surveys. Females, respondents aged 22-24, and participants with previous post-secondary education demonstrated higher mean empathy scores than their counterparts. Substance abuse was associated with the lowest mean empathy score for every demographic. Mean scores for intellectual disability, attempted suicide and mental health emergency decreased from the first survey to the last. Mean scores for substance abuse increased from 43.3 (SD±8.2) to 46.45 (SD±7.04).ConclusionResults from this study suggest that in general, empathy levels among paramedic students decline over the course of their education. Male paramedic students are less empathetic than their female counterparts, and those with previous post-secondary education displayed higher mean empathy scores. The findings in this research support previous findings, and suggest that paramedic education programs may benefit from the inclusion of additional empathy training and education. 

Strategies for incorporating patient safety education in paramedic education using the IHI Open School

IntroductionEvery year, thousands of patients die and millions are harmed by medical care provision. Paramedics care for patients in dynamic, and challenging environments every day, which creates conditions that are ideal for mistakes to occur and for harm to be caused as a result. Knowledge of patient safety is recognised as a competency for paramedics in several jurisdictions, yet general awareness among paramedics of patient safety issues remains poor. The Institute for Healthcare Improvement (IHI) Open School courses were identified as a potential solution to this identified gap. These courses have been successfully integrated into various health professions education programs in other institutions; however, no literature was discovered which discussed the integration of these courses into paramedic education.MethodsEight online courses from the 13-course IHI Basic Certificate in Quality and Safety were embedded into the curriculum of a professional issues class in a paramedic diploma program in Ontario, Canada. Courses were completed outside of classroom time over one semester, and a percentage of activity marks for the class were awarded to students on the completion of the eight courses. Students provided a copy of certificates to prove completion of training.ResultsIn this pilot program, 41 paramedic students in the class (98%) completed all 13 courses, and were awarded the IHI Basic Certificate in Quality and Safety. Students described the courses as “highly applicable to paramedicine and pre-hospital care”. In addition, students state that completing the certificate gave them knowledge of “the means by which change can be enacted”. The completion of the courses outside of class time was achievable, and feedback from students has been overwhelmingly positive. An additional 43 students are currently enrolled in the courses, with completion expected by December 2018.ConclusionThe IHI Open School courses are an easy to implement strategy for paramedics looking to gain a brief, concise education on quality and patient safety. It is our goal to integrate the IHI Open School Basic Certificate across all classes in the two-year diploma program. We hope this will lay a foundation for professional practice that is based on safe, high-quality care provision

2018 Research & Innovation Day Program

A one day showcase of applied research, social innovation, scholarship projects and activities.https://first.fanshawec.ca/cri_cripublications/1005/thumbnail.jp

Patient safety and quality improvement education for paramedics: Practicing what we preach

Batt, AM ORCiD: 0000-0001-6473-5397Our patients expect, and deserve, safe, high-quality care. Patient safety and quality improvement competencies for paramedics are detailed in the National Occupational Competency Profiles (Canada) (1), the Education and Training Standards (Rep. of Ireland) (2), the Standards of Proficiency for Paramedics (UK) (3), and the Australasian Competency Standards for Paramedics (Aus & NZ) (4). Competencies aside, paramedics have a personal responsibility for providing safe care, regardless of previous education or regulatory framework. The onus is on us all to ensure that paramedics are adequately prepared to address this responsibility.--Paragraph 1