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Improving disclosure of medical error through educational program as a first step toward patient safety

机译:通过教育计划改善医疗错误的披露,作为迈向患者安全的第一步

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Background Although physicians believe that medical errors should be disclosed to patients and their families, they often hesitate to do so. In this study, we assessed the effectiveness of an education program for medical error disclosure. Methods In 2015, six medical interns and 79 fourth-year medical students participated in this study. The education program included practice of error disclosure using a standardized patient scenario, feedback, and short didactic sessions. Participant performance was evaluated with a previously developed rating scale that measures error disclosure performance on five specific component skills. Following education program, we surveyed participant perceptions of medical error disclosure with varying severity of error outcome and their satisfaction with the education program using a 5-point Likert scale. We also surveyed the change of attitude or confidence of participants after education program. Results The performance score was not significantly different between medical interns and medical students ( p =?0.840). Following the education program, 65% of participants said that they had become more confident in coping with medical errors, and most participants (79.7%) were satisfied with the education program. They also indicated that they felt a greater duty to disclose medical errors and deliver an apology when the medical error outcome is more severe. Conclusions An education program for disclosing medical errors was helpful in improving confidence in medical error disclosure. Extending the program to more diverse scenarios and a more diverse group of physicians is needed.
机译:背景技术尽管医生认为应将医疗错误告知患者及其家人,但他们常常不愿这样做。在这项研究中,我们评估了医疗错误披露教育计划的有效性。方法2015年,共有6名医学实习生和79名四年级医学生参加了这项研究。该教育计划包括使用标准化患者方案,反馈和简短的教学会议进行错误披露的实践。参与者的表现通过先前制定的等级量表进行评估,该量表衡量五个特定组件技能的错误披露表现。遵循教育计划,我们使用5点李克特量表对参与者对医疗错误披露的看法进行了调查,研究结果显示错误结果的严重程度各不相同,以及他们对教育计划的满意度。我们还调查了教育计划后参与者态度或信心的变化。结果医学实习生和医学生的表现得分没有显着差异(p =?0.840)。实施该教育计划后,有65%的参与者表示他们对处理医疗错误更加自信,大多数参与者(79.7%)对教育计划感到满意。他们还表示,当医疗错误的结果更为严重时,他们有更大的责任公开医疗错误并道歉。结论公开医疗错误的教育计划有助于提高对医疗错误披露的信心。需要将该程序扩展到更多不同的场景和一组更多的医生。

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