Education for the Next Frontier in Patient Safety: A Longitudinal Resident Curriculum on Diagnostic Error
| Autor: | Andrew P.J. Olson, Emily Ruedinger, Maren E. Olson, Emily Borman-Shoap, Justin Yee |
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| Rok vydání: | 2016 |
| Předmět: |
020205 medical informatics
Formative Feedback Process (engineering) Attitude of Health Personnel Clinical Decision-Making Graduate medical education 02 engineering and technology Constructive Formative assessment 03 medical and health sciences Patient safety 0302 clinical medicine Nursing 0202 electrical engineering electronic engineering information engineering Medicine Humans Generalizability theory 030212 general & internal medicine Diagnostic Errors Curriculum business.industry Health Policy Internship and Residency Critical thinking Clinical Competence Patient Safety business |
| Zdroj: | American journal of medical quality : the official journal of the American College of Medical Quality. 32(6) |
| ISSN: | 1555-824X |
| Popis: | Diagnostic error is a common, serious problem that has received increased attention recently for its impact on both patients and providers. Presently, most graduate medical education programs do not formally address this topic. The authors developed and evaluated a longitudinal, multimodule resident curriculum about diagnostic error and medical decision making. Key components of the curriculum include demystifying the medical decision-making process, building skills in critical thinking, and providing strategies for diagnostic error mitigation. Special attention was paid to avoiding the second victim effect and to fostering a culture that supports constructive, productive feedback when an error does occur. The curriculum was rated by residents as helpful (96%), and residents were more likely to be aware of strategies to reduce cognitive error (27% pre vs 75% post, P < .0001) following its implementation. This article describes the development, implementation, and effectiveness of this curriculum and explores generalizability of the curriculum to other programs. |
| Databáze: | OpenAIRE |
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