Korean journal of medical education

The Korean Society of Medical Education (한국의학교육학회)
권호 표지

Using Medical Error Cases for Patient Safety Education

의료과오 사례를 이용한 환자안전 교육

Roh, Hye-Rin;Seol, Ho-Jun;Kang, Seong-Sik;Suh, In-Bum;Ryu, Se-Min
노혜린;설호준;강성식;서인범;류세민

  • Published : 2008.09.10
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Abstract

Purpose: To draw attention to patient safety and increase its awareness among medical students, we developed a program that teaches patient safety based on common medical error cases. The aim of this study is to introduce this program and improve student receptivity to it. Methods: As part of the “Patient, Doctor, and Society” course, third-year medical students participated in 8 hours of a medical error education program. Students discussed recent, typical medical lawsuits that were generated from internal medicine, surgery, pediatrics, obstetrics and gynecology, neurosurgery, medication, anesthesia, and blood transfusion cases. Students weighed these issues in small groups, using various discussion methods. After finishing the program, students completed a course evaluation questionnaire. Results: The students rated this program as satisfactory, highly motivating, and helpful in preparing their future practices. They responded that although the cases were interesting, some were difficult. They stated that the small group discussion techniques encouraged them to take active part in the discussion and to consider the cases more deeply. Conclusion: Small group discussion of medical error cases is an effective method for students to study patient safety.

Keywords

References

  1. Baker, G.R., Norton, P.G., Flintoft, V., Blais, R., Brown, A., Cox, J., Etchells, E., Ghali, W.A., Hebert, P., Majumdar, S.R., O'Beirne, M., Palacios- Derflingher, L., Reid, R.J., Sheps, S., & Tamblyn, R.(2004). The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. CMAJ, 170, 1678-1686 https://doi.org/10.1503/cmaj.1040498
  2. Choi, J., & Park, Y.(2001). Euiryogwasilgwa euiryososong. Seoul: Yukbeopsa
  3. Engel, K.G., Rosenthal, M., & Sutcliffe, K.M.(2006).Residents' responses to medical error: coping, learning, and change. Acad Med, 81, 86-93 https://doi.org/10.1097/00001888-200601000-00021
  4. Feldman, S.E.(1995). Beyond medical error. Acad Med, 70, 659 https://doi.org/10.1097/00001888-199508000-00001
  5. Foster, A.J., Asmis, T.R., Clark, H.D., Al Saied, G., Code, C.C., Caughey, S.C., Baker, K., Watters, J., Worthington, J., & van Walraven, C.(2004). Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. CMAJ, 170, 1235-1240 https://doi.org/10.1503/cmaj.1030683
  6. Fulton, J.(2004). A curriculum for patient safety. Med Educ, 38, 1014-1015
  7. Hobgood, C., Hevia, A., Tamayo-Sarver, J.H., Weiner, B., & Riviello, R.(2005). The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration. Acad Med, 80, 758- 764 https://doi.org/10.1097/00001888-200508000-00012
  8. Kim, S., Lee, K., & Kim, W.(2003). Choisineuiryopanrye. Seoul: Dongrimsa
  9. Kim, O., So, Y., Lee, Y., & Ahn, D.(2002). Experiences of medical ethics education with case-based learning. Korean J Med Educ, 12, 175-183
  10. Lester, H., & Tritter, J.Q.(2001). Medical error: a discussion of the medical construction of error and suggestions for reforms of medical education to decrease error. Med Educ, 35, 855-861 https://doi.org/10.1046/j.1365-2923.2001.01003.x
  11. Madigosky, W.S., Headrick, L.A., Nelson, K., Cox, K.R., & Anderson, T.(2006). Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility. Acad Med, 81, 94-101 https://doi.org/10.1097/00001888-200601000-00022
  12. Park, G.H., Koh, H.J., Choi, I.S., Lee, Y.D., Yim, Y.M., & Kim, Y.I.(2003). The operational design of clinical skills training program in Gachon Medical School. Korean J Med Educ,14, 203-212
  13. Supreme Court of Korea(2006). Sabeopyeongam. Seoul: Beopwonhaengjeongcheo
  14. Sutcliffe, K.M., Lewton, E., & Rosenthal, M.M. (2004). Communication failures: an insidious contributor to medical mishaps. Acad Med, 79, 186-194 https://doi.org/10.1097/00001888-200402000-00019
  15. Wu, A.W., Folkman, S., McPhee, S.J., & Lo, B. (2003). Do house officers learn from their mistakes? Qual Saf Health Care, 12, 221-228 https://doi.org/10.1136/qhc.12.3.221