Skip to main content
. 2018 Sep 4;178(11):1548–1549. doi: 10.1001/jamainternmed.2018.4184

Table. Comparison of Responses on Education and Reporting of Diagnostic Errors by Resident and Attending Physicians.

Question No. (%) of Physicians P Value
Resident (n = 196) Attending (n = 70)
Where have you been taught how to discuss diagnostic errors with patients? (Select all that apply)
Never been formally taught 40 (21.1) 13 (18.8) .70
Medical school 118 (62.1) 18 (26.1) <.001
Residency 93 (48.9) 36 (52.2) .65
Other 10 (5.3) 6 (8.7) .31
Does your training program teach residents how to communicate about diagnostic errors to patients? (Select 1 answer: yes, no, unsure)
Yes 83 (43.5) 44 (64.7) .001
No or unsure 108 (56.5) 24 (35.3)
When a diagnostic error occurs, how does your institution most often address it? (Select 1 answer)
Not addressed 15 (8.1) 7 (10.3) .67
Informal one-on-one discussion with team member 80 (43.2) 24 (35.3) .21
Formal one-on-one discussion with team member 23 (12.4) 12 (17.7) .17
Formal group discussion with team members (eg, root cause analysis, morbidity and mortality conference) 67 (36.2) 25 (36.8) .46
How are trainees encouraged to report diagnostic errors? (Select all that apply)
Not encouraged 21 (11.2) 5 (7.5) .38
Senior resident 111 (59.4) 30 (44.6) .04
Chief resident 39 (20.9) 22 (32.8) .05
Attending 105 (56.2) 53 (79.1) .001
Program director 18 (9.6) 13 (19.4) .04
Anonymous reporting system 95 (50.8) 42 (62.7) .09
How comfortable do you feel reporting diagnostic errors when they occur to patients under your care? (Select 1 answer)
Uncomfortable or very uncomfortable 83 (44.6) 21 (30.9) .05
Comfortable or very comfortable 103 (55.4) 47 (69.1)
“My current reporting system is helpful in reducing diagnostic errors.” (Select 1 answer)
Agree or strongly agree 106 (57.6) 37 (56.1) .83
Disagree or strongly disagree 78 (42.4) 29 (43.9)