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Acad Med. 2009 Dec;84(12):1809-14. doi: 10.1097/ACM.0b013e3181bf36b0.

Evaluation of an error-reduction training program for surgical residents.

Author information

1
Psychology Department, University of South Florida, Tampa, Florida 33620-7200, USA. mbrannic@luna.cas.usf.edu

Abstract

PURPOSE:

To reduce errors in surgery using a resident training program based on a taxonomy that highlights three kinds of errors: judgment, inattention to detail, and problem understanding.

METHOD:

The training program module at the University of South Florida incorporated a three-item situational judgment test, video training (which included a lecture and behavior modeling), and role-plays (in which residents participated and received feedback from faculty). Two kinds of outcome data were collected from 33 residents during 2006-2007: (1) behaviors during the training and (2) on-the-job surgical complication records 12 months before and 6 months after training. For the data collected during training, participants were assigned to a condition (19 video condition, 13 control condition); for the data collected on the job, an interrupted time series design was used.

RESULTS:

Data from 32 residents were analyzed (one resident's data were excluded). One of the situational judgment items improved significantly over time (d = 0.45); the other two did not (d = 0.36, 0.25). Surgical complications and errors decreased over the course of the study (the correlation between complications and time in months was r = -0.47, for errors and time, r = -0.55). Effects of video behavior modeling on specific errors measured during role-plays were not significant (effect sizes for binary outcomes were phi = -0.05 and phi = 0.01, and for continuous outcomes, d ranged from -0.02 to 0.34).

CONCLUSIONS:

The training seemed to reduce errors in surgery, but the training had little effect on the specific kinds of errors targeted during training.

PMID:
19940592
DOI:
10.1097/ACM.0b013e3181bf36b0
[Indexed for MEDLINE]

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