Borz-Baba Carolina, Johnson Matthew, Gopal Vanitha
Internal Medicine, Saint Mary's Hospital, Waterbury, USA.
Internal Medicine, Frank H. Netter MD School of Medicine Quinnipiac University, North Haven, USA.
Cureus. 2020 Feb 10;12(2):e6931. doi: 10.7759/cureus.6931.
The Accreditation Council for Graduate Medical Education (ACGME) has endorsed the disclosure of adverse treatment events as a common program requirement for resident education and experience since July 2019. This article explores the residents' current attitudes and knowledge in the disclosure of medical errors and the efforts to design a more specific and effective educational program. We conducted a cross-sectional survey of medical residents toward this end. We observed that 62.5% of the residents were not familiar with the error-reporting process at our institution. General concerns about disclosing errors are related primarily to negative patient reactions (66.7%). The majority (58.3%) of the trainees' negative psychological experience after an unanticipated outcome resulting in harm has caused increased anxiety about future errors. To ensure a positive error-disclosure culture, the curriculum must include efforts to educate trainees on the error-reporting system and the disclosure process and should create an opportunity for the organization to establish programs and policies to guide practitioners through the process of disclosures.
自2019年7月起，毕业后医学教育认证委员会（ACGME）已认可将不良治疗事件的披露作为住院医师教育和培训的一项通用项目要求。本文探讨了住院医师目前在医疗差错披露方面的态度和知识，并努力设计一个更具体、有效的教育项目。为此，我们对住院医师进行了一项横断面调查。我们发现，62.5%的住院医师不熟悉我们机构的差错报告流程。对披露差错的普遍担忧主要与患者的负面反应有关（66.7%）。在意外结果导致伤害后，大多数（58.3%）实习生的负面心理体验增加了对未来差错的焦虑。为确保形成积极的差错披露文化，课程必须包括对实习生进行差错报告系统和披露流程的教育，并应为机构创造机会，制定项目和政策，以指导从业者完成披露过程。
