Korean journal of medical education

The Korean Society of Medical Education (한국의학교육학회)
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Effect of Patient Safety Education in Surgical Clerkship to Develop Competencies for Managing and Preventing Medical Errors

외과실습에서 의료 오류 예방 및 관리 능력 개발을 위한 환자안전교육의 효과

  • Roh, Hye-Rin (Department of Surgery, Kangwon National University School of Medicine) ;
  • Lee, Kuhn-Uk (Department of Surgery, Seoul National University College of Medicine) ;
  • Lee, Yoon-Seong (Department of Forensic Medicine, Seoul National University College of Medicine) ;
  • Kim, Ock-Joo (Department of Medical History, Seoul National University College of Medicine) ;
  • Kim, Sun-Whe (Department of Surgery, Seoul National University College of Medicin) ;
  • Choi, Jae-Woon (Department of Surgery, Chungbuk National University College of Medicine)
  • 노혜린 (강원대학교 의학전문대학원 외과학교실) ;
  • 이건욱 (서울대학교 의과대학 외과학교실) ;
  • 이윤성 (서울대학교 의과대학 법의학교실) ;
  • 김옥주 (서울대학교 의과대학 의사학교실) ;
  • 김선회 (서울대학교 의과대학 외과학교실) ;
  • 최재운 (충북대학교 의과대학 외과학교실)
  • Received : 2010.06.23
  • Accepted : 2010.08.13
  • Published : 2010.03.01
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Abstract

Purpose: The aims of this study were to define the necessity and effectiveness of patient safety education during surgical clerkship to develop competency for managing and preventing medical errors. Methods: Fifty 3rd-year students participated in the patient safety education program during a 4-week surgical clerkship. The students were divided into 4 groups: control group, pretest-only group, education-only group, and pretest and education group. Students were assessed using short essays and an oral exam for reasoning skills, clinical performance exams for patient education and communication skills, and multisource feedback and direct observation of error reporting for real-world problem-solving skills. The results were analyzed with SPSS 14.0K. The reliability (Cronbach ${\alpha}$) of the entire assessment was 0.893. Results: There was no difference in scores between early and late clerkship groups. Reasoning skills were improved by the pretest. Reasoning, patient education, and error reporting skills were much more developed by patient safety education. Real-world error identification, reporting, and communication did not change after the 4-week course. Conclusion: Patient safety education during surgical clerkship is necessary and effective. Error prevention and competency management in the real world should developed.

Keywords

Acknowledgement

Supported by : Korea Research Foundation

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