Patient Safety Risks of Basic Urological Procedures Performed by Junior and Senior Residents

Autor: Evert L. Koldewijn, Rob C.M. Pelger, Malou C.P. Kuppen, Barbara M.A. Schout, Anna H. de Vries, Cordula Wagner, Maaike C. Boute, Jeroen J. G. van Merriënboer
Přispěvatelé: Public and occupational health, EMGO - Quality of care, Onderwijsontw & Onderwijsresearch, RS: SHE - R1 - Research (OvO), Family Medicine
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Journal of Surgical Education, 72(5), 918-926. Elsevier Inc.
de Vries, A H, Boute, M C, Kuppen, M C P, Van Merrienboer, J J G, Koldewijn, E L, Pelger, R C M, Schout, B M A & Wagner, C 2015, ' Patient Safety Risks of Basic Urological Procedures Performed by Junior and Senior Residents ', Journal of Surgical Education, vol. 72, no. 5, pp. 918-926 . https://doi.org/10.1016/j.jsurg.2015.04.014
ISSN: 1931-7204
Popis: OBJECTIVE: To investigate the current performance of urological residents regarding basic urological procedures in relation to patient safety issues and the identification of specific training needs. DESIGN: Observational data of 146 urethrocystoscopies (UCSs), 27 transrectal ultrasounds of the prostate (TRUSs), 38 transrectal ultrasound-guided prostatic biopsies (TRUSPs), and 30 transurethral resections of bladder tumor (TURBTs) were collected. Performance was evaluated using scoring lists including details on completeness of procedural steps, level of independence, time, and the incidence of unintended events. The causal factors contributing to the unintended events were identified by 2 expert urologists and classified according to the recognized PRISMA method. SETTING: This study was performed in 5 teaching hospitals in the Netherlands. PARTICIPANTS: We included 11 junior residents and 5 senior residents in urology in the final study cohort. RESULTS: Senior residents showed a lower degree of completeness in material usage than junior residents did during UCS (p
Databáze: OpenAIRE