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) |