A tool (The Daily Q) was developed to reinforce correct operations among neurology resident physicians at an academic hospital. We built a database of simple, multiple-choice questions designed to reinforce operations implicated in patient safety events, identified from the center’s event reporting system. The tool randomly selected a daily question from the database and displayed it on a website for resident access.

Data was abstracted from patient safety event reports. We compared the year prior to tool rollout (May 2022 - 2023) to the year following (May 2023 - 2024). We compared the total number of events, the number of repeat events, and whether inclusion in the automated tool affected the frequency of repeat events.

Patient safety events related to topics covered in the automated tool significantly decreased following rollout (χ², p = 0.046). Patient safety events were also significantly less likely to repeat after topic inclusion in the tool (χ², p = 0.004). The decrease was seen despite the overall number of patient safety events increasing between the two study years (36 vs. 50, 39% increase). Patient safety events related to topics not covered in the automated tool did not see such reductions.