Proficiency in identifying, managing and communicating medical errors: feasibility and validity study assessing two core competencies.

Details

• Personal Author:
  Abu Dabrh AM ; Buchta WG ; Lovett AK ; Murad MH ; Newcomb RD ; Steffen MW ; Steinkraus LW ; Wang Z
• Description:
  Background: Communication skills and professionalism are two competencies in graduate medical education that are challenging to evaluate. We aimed to develop, test and validate a de novo instrument to evaluate these two competencies. Methods: Using an Objective Standardized Clinical Examination (OSCE) based on a medication error scenario, we developed an assessment instrument that focuses on distinctive domains [context of discussion, communication and detection of error, management of error, empathy, use of electronic medical record (EMR) and electronic medical information resources (EMIR), and global rating]. The aim was to test feasibility, acceptability, and reliability of the method. Results: Faculty and standardized patients (SPs) evaluated 56 trainees using the instrument. The inter-rater reliability of agreement between faculty was substantial (Fleiss k = 0.71) and intraclass correlation efficient was excellent (ICC = 0.80). The measured agreement between faculty and SPs evaluation of resident was lower (Fleiss k = 0.36). The instrument showed good conformity (ICC = 0.74). The majority of the trainees (75 %) had satisfactory or higher performance in all six assessed domains and 86 % found the OSCE to be realistic. Sixty percent reported not receiving feedback on EMR use and asked for subsequent training. Conclusion: An OSCE-based instrument using a medical error scenario can be used to assess competency in professionalism, communication, using EMRs and managing medical errors. [Description provided by NIOSH]
• Subjects:
  Communication Delivery Of Health Care Education Health Personnel Occupational Health Safety Staff Development
• Keywords:
  Author Keywords: Communication Skills; Professionalism; Core Competencies; Medical Training; Medical Errors; ACGME Physicians; Education; Health Care Workers; Medical Care; Electronic Health Records; Performance Tests; Communication Research; Training;
• ISSN:
  1472-6920
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Minnesota ; OSHA Region 3 ; OSHA Region 5 ; Pennsylvania
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  16
• Issue:
  1
• NIOSHTIC Number:
  nn:20065298
• Citation:
  BMC Med Educ 2016 Sep; 16(1):233
• Contact Point Address:
  Abd Moain Abu Dabrh, Division of Preventive, Occupational, and Aerospace Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA
• Email:
  AbuDabrh.AbdMoain@mayo.edu
• Federal Fiscal Year:
  2016
• Performing Organization:
  University of Pennsylvania, Philadelphia
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  BMC Medical Education
• End Date:
  20290630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:e53ef3c57259cb4e18f889cc403c3ebde75faf43fbc30e6d496fdd36bb091bd592cc9762e279144eac501814057b6c4f679eafaa0f92c83aa5eff1a77af08a71
• Download URL:
  https://stacks.cdc.gov/view/cdc/249392/cdc_249392_DS1.pdf
• File Type:
  [PDF - 472.89 KB ]