Curated Milestones Evaluation Exhibit

Society of Hospital Medicine Patient Safety Assessment Table

Cheryl O'Malley, MD
Society of Hospital Medicine

Program Size: More than 101 residents
Program Type: Community-Based/University-Based
Clinical Setting: Patient Safety


This Patient Safety Assessment Table listing identified “Tasks” that are integral to patient safety and defined “Observed Behaviors” for each of the tasks. The observed behaviors depict a progression in attitudes and skills and provide anchoring language. For each observed behavior, discrete examples are provided to illustrate times when performance of the behavior might be observed. The listed examples are not meant to be exhaustive or applicable to all programs/trainees. Programs are invited to develop other local examples as needed to help with faculty development. Additionally, the individuals observing such behaviors may be a supervising resident, nurse, attending, or others. The tasks have been mapped to the most appropriate internal medicine sub-competencies and are meant to be incorporated into the program’s assessment system. The mapping can be found under the task column. The tasks could be assessed in programs by adding relevant portions to existing forms. For example: “Act upon possible/actual patient safety risk” could be added as a row to a summative monthly assessment for the inpatient wards and the anchors either listed or used for faculty development depending on the local rubric. Alternatively, “Engage local/ institution health system to improve patient safety” and “critical reflection” could fit well as part of an assessment of a resident discussion of a case in a patient safety conference.

Download the Tool


The Society of Hospital Medicine Internal Medicine Training Redesign Subcommittee developed this Patient Safety Entrustable Professional Activity assessment table through an iterative process. We identified “Tasks” that are integral to patient safety and defined “Observed Behaviors” for each of the tasks. Committee Members: Lenny Feldman, (chair), Cheryl O’Malley, Tony Breu, Alberto Puig, Kelly Caverzagie, Darlene Tad-y, Jan Bowman (SHM staff). Bob Habicht, Michael Lukela, Brian Markoff

Lessons Learned

This assessment table is intended to provide 1-2 tasks and their accompanying observable behaviors to programs fro integration into their current assessment tools. The assessment table is not designed to be used as an assessment in and of itself.

Faculty Development and Training

It depends on how it is integrated into the current assessment forms. The main user of the table as written would be the program leadership and CCC to be able to review where assessing some of the tasks would best fit.

How Used to Inform Decisions about a Learner's Milestone

Each task is mapped to the relevant sub-competencies.

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