학술논문

A Survey on Residents' Awareness of Patient Safety at the End of the First Year of Residency / 初期研修1年終了時の研修医の医療安全意識
Document Type
Journal Article
Source
医学教育 / Igaku Kyoiku / Medical Education (Japan). 2006, 37(4):229
Subject
incident report
medication-related event
patient safety
resident
インシデント報告
与薬事故
医療安全
臨床研修
Language
Japanese
ISSN
0386-9644
2185-0453
Abstract
A survey was performed to examine residents' awareness of patient safety. Sixty-two residents who had just finished their first year of residency participated in the study. Of the 62 residents, 30 were training at Yokohama City University Hospital and 32 were training at other hospitals. Although all residents knew about the serious medical mishap ( “surgical mix-up” ) that had occurred at Yokohama City University Hospital in 1999, only 53% knew about the judicial verdict in this case. The residents most often believed that the mishap was the fault of the hospital and its system (82%), followed by nurses (73%), supervising doctors (62%), and residents (45%). Seventy percent of the residents knew about the “Incident Reporting System, ” but only 20% had written an incident report. Incidents experienced or observed by residents were most often medication-related. No significant differences in the results of the survey were found between residents of Yokohama City University Hospital and those of other hospitals. In conclusion, although residents recognize the importance of patient safety at the end of the first year of their residency program, they still cannot deal properly with incidents.