A Cultural Competency, Risk Management, and Patient Safety Internet-based Curriculum Effect on Obstetrician-Gynecologists [65].

INTRODUCTION: Patient safety, risk management, and cultural competency are essential topics for health care provider mastery in a high stakes, urban, academic labor and delivery unit.

METHODS: A prospective cross-sectional pilot study was performed with institutional review board-exempt status to examine the effect of an Internet-based educational curriculum on topics including patient safety, risk management, and cultural competency over 6 months amongst obstetrics and gynecology and family medicine medical students, nurses, and physicians. Seventy-six health care providers participated. Assessments took place before and after curriculum implementation. Primary outcome measures were cultural competency as measured by the Tucker-Culturally Sensitive Health Care Inventory Provider Form and the Pascal Metrics of Patient Safety survey for health care providers, patient satisfaction measured by the Press Ganey patient survey scores, and poor labor and delivery outcomes. The curriculum intervention included five online lectures lasting 30-60 minutes pertaining to cultural competency, risk management, patient safety, and Team STEPPS training.

RESULTS: Tucker-Culturally Sensitive Health Care Inventory scores were not statistically significantly different in the pretest and posttest groups. Nurses showed the highest levels of cultural competence, sensitivity, and respect among all groups. Longer duration of employment showed higher overall Tucker-Culturally Sensitive Health Care Inventory scores. Press Ganey patient satisfaction scores and labor and delivery poor outcomes were not significantly different before and after the curriculum implementation.

CONCLUSION: An Internet-based patient safety, risk management, and cultural competency curriculum was not effective in improving Tucker-Culturally Sensitive Health Care Inventory scores, Press Ganey satisfaction scores, or labor and delivery adverse outcomes for obstetrics and gynecology and family medicine health care providers.