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Pain Management 2019 & Internal Medicine 2019
International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X
Page 81
JOINT EVENT
7
th
Edition of International Conference on
Pain Management
8
th
Edition of International Conference on
Internal Medicine &
Patient Care
&
March 25-26, 2019
Rome, Italy
Int J Anesth Pain Med 2019, Volume 5
DOI: 10.21767/2471-982X-C1-006
Medical errors: Causes and its impact on
postgraduate residents
Attia Bari
The Children’s Hospital and Institute of Child
Health Lahore, Pakistan
Background:
Medical errors are inevitable and can have a
disastrous effect on patient, treating doctors and institute
as well.
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.
Methodology:
130 postgraduate residents working at the
Children’s Hospital Lahore were included (response rate
87%). 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.
Results:
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 and 2(2%) never
encountered an error. Only 73(57%) residents disclosed
medical errors to their senior physician but disclosure to
patient’s family was 15(11%). Negative emotions were
common: Eighty-five (66%) felt emotional distress and
sorrow 89(70%). Negative emotions were significantly
associated with lack of knowledge (p=0.001), missing
warning signs (p=<0.001), not seeking advice (p=0.003)
and procedural complications (p=0.001). Medical errors
had significant impact on resident’s behavior; 119(93%)
residents becamemore careful, increased advice seeking
from seniors 109(86%) and 109(86%) started paying
more attention to details. Intrinsic causes of errors were
significantly associated with increased information
seeking behavior and vigilance (p=0.003) and (p=0.01)
respectively.
Conclusion:
Medical errors committed by residents have
inadequate disclosure to senior physicians and result in
negative emotions but there was positive change in their
behavior, which resulted in improvement in their future
training and patient care.
drattiabari@gmail.com