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Related Experiment Videos

Emergency medicine resident errors: identification and educational utilization.

C D Hobgood1, O J Ma, G L Swart

  • 1Department of Emergency Medicine, University of North Carolina School of Medicine, Chapel Hill, NC 27599-7594, USA. hobgood@med.unc.edu

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
|November 10, 2000
PubMed
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Emergency medicine residency directors use various systems to track clinical errors, but resident participation and remediation vary. While satisfied, directors find current systems lacking in detecting and preventing errors effectively.

Area of Science:

  • Medical Education
  • Patient Safety
  • Healthcare Quality Improvement

Background:

  • Effective error management is crucial in residency programs to ensure patient safety and enhance learning.
  • Emergency medicine residency directors (EMRDs) play a key role in overseeing these systems.
  • Understanding current practices and satisfaction levels is vital for improving error reporting and educational outcomes.

Purpose of the Study:

  • To evaluate the systems emergency medicine residency directors use for identifying and reporting clinical errors made by residents.
  • To assess EMRDs' satisfaction with error-based teaching as an educational tool.

Main Methods:

  • A survey was sent to 112 Accreditation Council for Graduate Medical Education-listed EMRDs in 1996.
  • The survey assessed error evaluation and management systems, resident participation, remediation, and EMRD satisfaction.

Related Experiment Videos

  • A 15-item questionnaire covered tracking/reporting mechanisms, resident involvement, remediation, and perceived educational value.
  • Main Results:

    • 86% of EMRDs responded, indicating all programs have error tracking systems (e.g., morbidity and mortality conferences, quality assurance reviews).
    • Resident cases are often anonymized (58%) to facilitate teaching and avoid blame.
    • Mandated resident remediation is inconsistent, with varying requirements like lectures or extra shifts.

    Conclusions:

    • All emergency medicine residency programs possess systems for tracking and reporting resident errors.
    • Significant variation exists in resident participation and the implementation of remediation processes.
    • EMRDs express general satisfaction with their systems but perceive limitations in their ability to effectively detect and prevent clinical errors.