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Evaluation of an error-reduction training program for surgical residents.

Michael T Brannick¹, Peter J Fabri, Jose Zayas-Castro

¹Psychology Department, University of South Florida, Tampa, Florida 33620-7200, USA. mbrannic@luna.cas.usf.edu

Academic Medicine : Journal of the Association of American Medical Colleges

|November 27, 2009

Summary

A surgical resident training program reduced overall surgical errors and complications. However, the program showed limited impact on the specific error types it aimed to address during training.

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Area of Science:

Medical Education
Surgical Safety
Error Reduction

Background:

Surgical errors pose a significant risk to patient safety.
A taxonomy identifying judgment, inattention to detail, and problem understanding errors provides a framework for targeted training.
Effective resident training programs are crucial for improving surgical outcomes.

Purpose of the Study:

To evaluate the effectiveness of a surgical resident training program designed to reduce errors.
The program focused on a taxonomy of errors including judgment, inattention to detail, and problem understanding.

Main Methods:

A training module incorporating situational judgment tests, video training, and role-play feedback was implemented.
Thirty-three surgical residents participated in the study between 2006-2007.

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Surgical complication and error data were collected for 12 months pre-training and 6 months post-training using an interrupted time series design.

Main Results:

Surgical complications and errors demonstrated a significant decrease over the study period (r = -0.47 for complications, r = -0.55 for errors).
One of three situational judgment test items showed significant improvement over time.
Video behavior modeling did not yield significant effects on specific errors measured during role-plays.

Conclusions:

The implemented surgical resident training program was associated with a reduction in overall surgical errors and complications.
The training demonstrated limited effectiveness in improving the specific types of errors it was designed to target.