Make sure to update in our site manuals:

• How to report patient safety events, safety resources and roles
• Quality improvement priorities
• I-PASS and transitions of care policies and procedures
• Information on supervision expectations and progressive autonomy

When you have service line rounds (including group supervision, group didactics, or multi-disciplinary team rounds for FTC; weekly team meetings for KBHS), make sure to regularly ask:

• Any safety events to report and discuss?
• Root cause analyses or other activities that include analysis, as well as formulation and implementation of actions
• Specialty-specific data on quality metrics and benchmarks
• Is there a culture supportive of requesting assistance?
• How is supervision going?
• Does the clinical site/department provide residents/fellows with a supportive culture forrequesting assistance?
• Are supervision policies and procedures followed?
• Are there any patient care vulnerabilities due to workload, and if so, how can we address them?
• Have there been issues with resident/fellow fatigue?
• Collaboratively develop patient care plans with other specialists

When you have walk rounds or other forums where you interface with other medical specialties (e.g., CL service), make sure to:

• Collaboratively develop patient care plans with other specialists

When you have walk rounds or team rounds (e.g., FTC rounds) where patients/families are part of the meetings, make sure to periodically ask:

• Do you know the names and roles of the attending physicians and residents/fellows taking care of you?
• Do you feel that you have adequate contact with the attending physicians?
• Do you feel that you have adequate contact with the resident/fellow team?

When you are signing in or signing out, make sure to also discuss:

• Signouts
• Transfers
• Strategies for improving transitions of care