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    Trends in Medical Error Education: Are We Failing Our Residents

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    Authors
    Bradley, Corey K.
    Fischer, Melissa A.
    Walsh, Kathleen E.
    UMass Chan Affiliations
    Department of Medicine
    Meyers Primary Care Institute
    Department of Pediatrics
    Document Type
    Journal Article
    Publication Date
    2013-01-01
    Keywords
    Internship and Residency
    Medical Errors
    Medical Education
    Pediatrics
    
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    Link to Full Text
    http://dx.doi.org/10.1016/j.acap.2012.10.004
    Abstract
    BACKGROUND: The Institute of Medicine has called for physician education as a key step in medical error prevention. In our 2002 national survey, pediatric resident education about medical error prevention was sporadic. We sought to describe the amount and type of pediatric resident training about medical errors and to assess the change in training since 2002. METHODS: We surveyed a national sample of 50 pediatric chief residents randomly selected from the 198 Accreditation Council for Graduate Medical Education-accredited residency programs from August to November 2010. The 31-item telephone survey was developed from the 2002 survey, with the addition of 10 items about electronic learning and resident quality improvement projects. The survey included 4 domains: current patient safety curriculum, chief resident knowledge, learning from medical errors, and demographics. RESULTS: We phoned 55 chief residents and contacted 51. Fifty participated (90% participation rate). Ninety-four percent of chief residents stated that their program had a formalized curriculum to discuss medical errors, compared to only 50% (P < .001) in 2002. Ninety-six percent understood that the response to a medical error should be systemic change. The primary method for educating residents about medical error reported was informal teaching. Ninety-two percent reported never or rarely discussing medical error in an outpatient setting. Seventy-four percent of chief residents reported that they never or rarely learn from an error made by an attending physician, and 50% never or rarely learned from an error made by a fellow resident. CONCLUSIONS: Although resident education about medical errors has improved since 2002, opportunities to model learning from mistakes are frequently missed. rights reserved.
    Source
    Acad Pediatr. 2013 Jan;13(1):59-64. doi: 10.1016/j.acap.2012.10.004. Link to article on publisher's site
    DOI
    10.1016/j.acap.2012.10.004
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/43618
    PubMed ID
    23165176
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    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.acap.2012.10.004
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