The TRANS-SAFE Patient Safety Learning Lab: Systems Improvement for Psychosocial Safety in Transgender Care

This patient safety learning laboratory (PSLL) will address the intersection of psychosocial patient harm/avoidable patient suffering and patient safety for transgender individuals. It will leverage an interdisciplinary team of clinical and systems improvement experts to contribute to AHRQ’s patient safety mission and advance health equity for transgender individuals, low-income individuals, minority groups, and people with disabilities. The project will advance patient safety science by identifying and addressing systemic causes of psychosocial harm in transgender people. This will be achieved through three specific aims: Aim 1: Identify the contributing factors leading to avoidable patient suffering in transgender individuals through a human-centered problem analysis, applying human factors, improvement science, risk management, and biopsychosociotechnical systems approaches. Aim 2: Co-design human-centered solutions to prevent and mitigate avoidable patient suffering in transgender individuals through an iterative process of co-design and development with stakeholders, using new and proven tools. Aim 3: Evaluate the effectiveness of proposed interventions in real and simulated clinical environments to assess effectiveness, acceptability, usability, implementability, and sustainability.