Surgical resident education in patient safety: where can we improve?
| Autor: | Shauna M. Levy, Luke R. Putnam, Eric J. Thomas, KuoJen Tsao, Lillian S. Kao, Caroline M. Kellagher, Kevin P. Lally, Jason M. Etchegaray |
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| Rok vydání: | 2015 |
| Předmět: |
Teamwork
medicine.medical_specialty Perioperative nursing business.industry Attitude of Health Personnel media_common.quotation_subject Internship and Residency Resident education Perioperative Patient safety Nursing Family medicine General Surgery Health care Medicine Humans Surgery Safety culture Patient Safety business Curriculum media_common |
| Zdroj: | The Journal of surgical research. 199(2) |
| ISSN: | 1095-8673 |
| Popis: | Background Effective communication and patient safety practices are paramount in health care. Surgical residents play an integral role in the perioperative team, yet their perceptions of patient safety remain unclear. We hypothesized that surgical residents perceive the perioperative environment as more unsafe than their faculty and operating room staff despite completing a required safety curriculum. Materials and methods Surgeons, anesthesiologists, and perioperative nurses in a large academic children's hospital participated in multifaceted, physician-led workshops aimed at enhancing communication and safety culture over a 3-y period. All general surgery residents from the same academic center completed a hospital-based online safety curriculum only. All groups subsequently completed the psychometrically validated safety attitudes questionnaire to evaluate three domains: safety culture, teamwork, and speaking up. Results reflect the percent of respondents who slightly or strongly agreed. Chi-square analysis was performed. Results Sixty-three of 84 perioperative personnel (75%) and 48 of 52 surgical residents (92%) completed the safety attitudes questionnaire. A higher percentage of perioperative personnel perceived a safer environment than the surgical residents in all three domains, which was significantly higher for safety culture (68% versus 46%, P = 0.03). When stratified into two groups, junior residents (postgraduate years 1–2) and senior residents (postgraduate years 3–5) had lower scores for all three domains, but the differences were not statistically significant. Conclusions Surgical residents' perceptions of perioperative safety remain suboptimal. With an enhanced safety curriculum, perioperative staff demonstrated higher perceptions of safety compared with residents who participated in an online-only curriculum. Optimal surgical education on patient safety remains unknown but should require a dedicated, systematic approach. |
| Databáze: | OpenAIRE |
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