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Medical errors; causes, consequences, emotional response and resulting behavioral change.

Author(s)
Attia Bari Department of Pediatric Medicine, The Children’s Hospital and The Institute of Child Health, Lahore, Pakistan
Rehan Ahmed Khan Department of Surgery, Islamic International Medical College, Riphah University, Pakistan
Ahsan Waheed Rathore Department of Pediatric Medicine, The Children’s Hospital and The Institute of Child Health, Lahore, Pakistan
Abstract
Objective: To determine the causes of medical errors, the emotional and behavioral response of pediatric medicine residents to their medical errors and to determine their behavior change affecting their future training. Methods: One hundred thirty postgraduate residents were included in the study. Residents were asked to complete questionnaire about their errors and responses to their errors in three domains: emotional response, learning behavior and disclosure of the error. The names of the participants were kept confidential. Data was analyzed using SPSS version 20. Results: A total of 130 residents were included. Majority 128(98.5%) of these described some form of error. Serious errors that occurred were 24(19%), 63(48%) minor, 24(19%) near misses, 2(2%) never encountered an error and 17(12%) did not mention type of error but mentioned causes and consequences. Only 73(57%) residents disclosed medical errors to their senior physician but disclosure to patient’s family was negligible 15(11%). Fatigue due to long duty hours 85(65%), inadequate experience 66(52%), inadequate supervision 58(48%) and complex case 58(45%) were common causes of medical errors. Negative emotions were common and were significantly associated with lack of knowledge (p=0.001), missing warning signs (p==
Publication Details
Page(s) 523-528
DOI DOI not available
Published Journal: Pakistan Journal of Medical Sciences, Volume: 32, Issue: 3, Year: 2016

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