Building a safer foundation: the Lessons Learnt patient safety training programme

Objectives To develop, implement and evaluate a novel patient safety training programme for junior doctors across a Foundation School—‘Lessons Learnt: Building a Safer Foundation’. Design, setting and participants Prospective preintervention /postintervention study across 16 Foundation Programmes in North West England, UK. 1169 participants including all Foundation Programme Directors, Administrators, Foundation trainees and senior faculty. Interventions Half-day stakeholder engagement event and faculty development through recruitment and training of local senior doctors. Foundation trainee-led monthly 60-min sessions integrated into compulsory Foundation teaching from January to July 2011 comprising case-based discussion and analysis of patient safety incidents encountered in practice, facilitated by trained faculty. Main outcome measures Participants’ satisfaction and Foundation trainees’ patient safety knowledge, skills, attitudes and behavioural change. Results Participants reported high levels of satisfaction with ‘Lessons Learnt’. There was a significant improvement in trainees’ objective patient safety knowledge scores (Meanpreintervention=51.1%, SD=17.3%; Meanpostintervention=57.6%, SD=20.1%, p