지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 17 - 24 (8page)
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초록· 키워드
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Background : We analyze the contents of conversations of emergency medicine (EM) residents in a simulation using standardized patients in error disclosure education, and examine the characteristics of them. Methods : Error disclosure education program was conducted for 15 EM residents at a training hospital. One case of near miss and one case of adverse event were developed, and all 15 residents participated in each case. The contents of 30 error disclosure conversation were analyzed. Results : Residents talked more in ‘Acknowledge what happened’ and ‘Response/Plan for care’, and it was rare to have conversations of ‘Tell me about it’ or ‘Answer questions’ in both cases. The cause of the incident was explained frankly, but when the patient blamed there were some residents who told honestly or not. There was a tendency to vaguely reveal the subject who made the mistake or attribute it to another cause. Most of residents apologized to the patient. Most of residents explained systematic recurrence prevention measures and compensation plans, but there were cases where the contents were not specific or inaccurate. Throughout the entire phase, the expression “we” was often used. Conclusion : Residents had doctor-led conversations while error disclosure, so that they need more patient-centered conversations. When apology, empathy and regret should be conveyed in various expressions. Residents need to be properly trained and able to explain to patients about follow-up measures such as systematic recurrence prevention measures and compensation plans. These results can be a basic material for teaching error disclosure or guidelines.
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참고문헌 (23)
참고문헌 신청
McLennan S / 2012 / Regulating open disclosure : a German perspective / Int J Qual Health Care 24(1):23~27
The Accreditation Council for Graduate Medical Education (ACGME)
Ministry of Health and Welfare / Announcement of training curriculum of medical residents
Bell SK / 2017 / Transparency when things go wrong : Physician attitudes about reporting medical errors to patients, peers, and institutions / J Patient Saf 13(4):243~248
Kachalia A / 2010 / Liability claims and costs before and after implementation of a medical error disclosure program / Ann Intern Med 153(4):213~221
The Accreditation Council for Graduate Medical Education (ACGME)
Ministry of Health and Welfare / Announcement of training curriculum of medical residents
Bell SK / 2017 / Transparency when things go wrong : Physician attitudes about reporting medical errors to patients, peers, and institutions / J Patient Saf 13(4):243~248
Kachalia A / 2010 / Liability claims and costs before and after implementation of a medical error disclosure program / Ann Intern Med 153(4):213~221
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