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Medical errors; causes, consequences, emotional response and resulting behavioral change.

Attia Bari1, Rehan Ahmed Khan2, Ahsan Waheed Rathore3

  • 1Dr. Attia Bari, MBBS, DCH, MCPS, FCPS. Associate Professor of Pediatric Medicine, Department of Pediatric Medicine, The Children's Hospital and The Institute of Child Health, Lahore, Pakistan.

Pakistan Journal of Medical Sciences
|July 5, 2016
PubMed
Summary

Pediatric medicine residents experience negative emotions after medical errors but show improved behavior and vigilance in future training. Disclosure of errors to patients remains low, despite increased reporting to seniors.

Keywords:
Emotional responseError disclosureMedical errors

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Area of Science:

  • Medical Education
  • Patient Safety
  • Pediatric Medicine

Background:

  • Medical errors are a significant concern in resident training.
  • Understanding resident responses to errors is crucial for improving patient care and training.

Purpose of the Study:

  • To identify causes of medical errors among residents.
  • To analyze residents' emotional and behavioral responses to errors.
  • To assess behavior changes impacting future training.

Main Methods:

  • A confidential questionnaire was administered to 130 postgraduate residents.
  • The survey assessed emotional response, learning behavior, and error disclosure.
  • Data was analyzed using SPSS version 20.

Main Results:

  • Nearly all residents (98.5%) reported medical errors, with fatigue and inadequate experience being common causes.
  • Disclosure to senior physicians was 57%, but to patient families was only 11%.
  • Errors led to negative emotions but also increased vigilance, advice-seeking, and attention to detail in 93% of residents.

Conclusions:

  • Residents experience negative emotions from medical errors but demonstrate positive behavioral changes, enhancing future training.
  • Inadequate disclosure of medical errors to patients is a critical issue.
  • Improved vigilance and learning behaviors positively impact patient care.