Evaluation of an error-reduction training program for surgical residents

Academic Medicine : Journal of the Association of American Medical Colleges
Michael BrannickRebecca H Bryant

Abstract

To reduce errors in surgery using a resident training program based on a taxonomy that highlights three kinds of errors: judgment, inattention to detail, and problem understanding. The training program module at the University of South Florida incorporated a three-item situational judgment test, video training (which included a lecture and behavior modeling), and role-plays (in which residents participated and received feedback from faculty). Two kinds of outcome data were collected from 33 residents during 2006-2007: (1) behaviors during the training and (2) on-the-job surgical complication records 12 months before and 6 months after training. For the data collected during training, participants were assigned to a condition (19 video condition, 13 control condition); for the data collected on the job, an interrupted time series design was used. Data from 32 residents were analyzed (one resident's data were excluded). One of the situational judgment items improved significantly over time (d = 0.45); the other two did not (d = 0.36, 0.25). Surgical complications and errors decreased over the course of the study (the correlation between complications and time in months was r = -0.47, for errors and time, r = -0.55). Effects of vi...Continue Reading

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Citations

Apr 27, 2012·Academic Medicine : Journal of the Association of American Medical Colleges·Victoria R TallentireHelen S Cameron
Mar 26, 2013·BMJ Quality & Safety·Michaela KolbeBastian Grande
Jun 12, 2012·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Lance FeldmanJohn Coates
Nov 18, 2011·Surgery·Debra A Darosa, Carla M Pugh
Jun 18, 2019·Medical Teacher·Pin-Hsiang HuangBoaz Shulruf
Apr 24, 2021·Journal of Surgical Education·Fanny Gabrysz-ForgetLily Hp Nguyen

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