1887

oa African Journal of Health Professions Education - An educational programme for error awareness in acute trauma for junior doctors : research

Volume 6, Issue 2
  • ISSN : 0256-9574

 

Abstract

In resource-poor environments of the developing world, young and inexperienced interns and community service doctors are often responsible for treating trauma patients without sufficient supervision. Time and experience are required for competency to develop, but in the understaffed environment of many hospitals time is often a constraint. Educational interventions are needed to accelerate competency development of the novice doctor.


The researchers designed an intervention using real cases and error theory to expand young doctors' experiences of common trauma errors made in our setting. We analysed cases at the regular morbidity and mortality meetings and selected cases where error contributed to the condition of the patient. Using error theory, these cases were presented to doctors with the objective to increase error awareness. To assess the success of this intervention, three doctors who were exposed to the intervention and three who were not exposed to it were included in the study using a structured interview.
This study demonstrated that interns who had been exposed to the intervention had a broader understanding of how errors can compound a patient's pathology and are often the result of systematic rather than individual failure.
The researchers focused on the rationale for and the development of an intervention for novice doctors to expose them to trauma experiences in the framework of understanding error. The immediate success of the intervention is illustrated in the structured interviews. Further development of this intervention and more formal research into its pedagogical value are planned after formalisation of the intervention into a teaching curriculum for trauma doctors. This educational initiative will have to be part of a comprehensive multifaceted quality-improvement programme if it hopes to be successful.

Loading full text...

Full text loading...

Loading

Article metrics loading...

/content/m_ajhpe/6/2/EJC161472
2014-10-01
2016-12-11

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error