Pediatric resident education about medical errors
Meyers Primary Care Institute
Analysis of Variance; Curriculum; Female; Humans; *Internship and Residency; Male; Medical Errors; Pediatrics; United States
Health Services Research | Medical Education | Primary Care
BACKGROUND: National organizations have called for patient safety curricula to help reduce the incidence of errors. Little is known about what trainees are taught about medical errors.
OBJECTIVE: 1) To determine the amount and type of training that pediatric residents have about medical errors and 2) to assess pediatric chief resident knowledge about medical errors.
METHODS: We surveyed chief residents from a national sample of 51 pediatric training programs by selecting every fourth program from the American Council on Graduate Medical Education list of accredited programs. The 21-item telephone survey was developed with patient safety specialists and piloted on several chief residents. It asked about patient-safety training sessions and awareness and knowledge about medical errors.
RESULTS: The 51 chief residents helped teach 2176 residents, approximately one third of all pediatric residents. One third of programs had no lectures about medical errors and 23% did not have morbidity and mortality rounds. Sixty-one percent of respondents stated that outpatient medical errors were rarely discussed. Informal teaching was most often reported as the primary method for educating residents about medical errors. Although 58% of respondents did not know that a systemic change should be made in response to a medical error, 83% felt that residents are adequately trained to deal with a medical error.
DISCUSSION: Pediatric resident education about medical errors varies widely. Attention by pediatric residency training programs to this important issue seems limited.
DOI of Published Version
Ambul Pediatr. 2004 Nov-Dec;4(6):514-7. Link to article on publisher's site
Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association
Walsh, Kathleen E.; Miller, Marlene R.; Vinci, Robert J.; and Bauchner, Howard C., "Pediatric resident education about medical errors" (2004). Meyers Primary Care Institute Publications and Presentations. 346.