Department of Medical Education, University of Illinois College of Medicine at Chicago, IL 60612, USA.
Teach Learn Med. 2009 Jul;21(3):229-32. doi: 10.1080/10401330903018526.
Despite the acknowledgment that error disclosure is essential to patient safety and the patient-provider relationship, there is little undergraduate training related to error disclosure.
Pilot test and evaluate an educational module designed to improve student confidence in understanding and performing medical error disclosure. The training was designed to establish competency in the four Rs of apology-recognition, responsibility, regret, and remedy-and included a 3-hr interactive discussion, training DVDs, practice of full disclosure using standardized patients, and facilitated reflection. Students were assessed pre and post using a self-administered confidence survey.
Confidence among students improved significantly from 11.5 +/- 2.9 before to 15.3 +/- 1.3 after the module (p <.0001).
The full disclosure educational module significantly improved students' perceived confidence in admitting medical errors and their confidence in understanding and performing the full disclosure of a medical error.
尽管承认错误披露对于患者安全和医患关系至关重要，但与错误披露相关的本科培训却很少。
试点测试和评估一个旨在提高学生理解和进行医疗错误披露信心的教育模块。该培训旨在建立道歉识别、责任、遗憾和补救的四个 Rs 的能力，并包括 3 小时的互动讨论、培训 DVD、使用标准化患者进行全面披露的实践以及促进反思。学生在使用自我管理的信心调查进行评估之前和之后进行评估。
学生的信心从模块前的 11.5 +/- 2.9 显著提高到模块后的 15.3 +/- 1.3（p <.0001）。
全面披露教育模块显著提高了学生承认医疗错误的信心，以及他们理解和执行医疗错误全面披露的信心。
