Recognition and Disclosure of Medical Errors Among Residents in Surgical Specialties in a Tertiary Hospital in Ibadan
Medical error (ME) remains central to discussions regarding patient’s safety and its frequency appears high in surgical specialties because of some peculiarities. We set out to study the perception of surgical residents about medical errors, their ability to recognize them and predisposition to disclosing their errors.
This was a cross-sectional study among surgical residents at the University College Hospital, Nigeria. Data about their knowledge, perception and recognition of medical errors were obtained. Knowledge and practice of medical error disclosure was also examined. Each of these was scored on Likert scale and scores categorized. Chi-square test and logistic regression were used for analysis with p at <0.05.
92 residents participated and 11(12.0%) were females. 32.6% of the respondents had less knowledge about medical errors and these were significantly junior residents. Residents with poor perception about ME were 43.5% and recent involvement with ME was significantly associated with good perception about ME. Delay in obtaining consultation and delay in diagnosis were identified respectively as MEs by only 40(43.5%) and 31(33.7) of the participants. While 82(89.1%) agreed that all errors should be reported to the consultant, only 20(21.7%) believed patients/relatives should be informed of all errors, while 49(53.3%) were well disposed to disclosing ME. Only 4(4.3%) residents had a formal training on ME.
Knowledge of ME was low among junior residents and residents are less likely to disclose error to patients/relatives. A formal training on ME will impact on their recognition, practice, and disclosure of ME.
- 2.Institute of Medicine Committee on Quality of Health Care in A (2000) In: Kohn LT, Corrigan JM, Donaldson MS (eds) To Err is human: building a safer health system, National Academies Press (US)Copyright 2000 by the National Academy of Sciences. All rights reserved., Washington (DC)Google Scholar
- 6.Grober ED, Bohnen JM (2005) Defining medical error. Can j Surg 48:39–44Google Scholar
- 19.Ushie BA, Salami KK, Jegede AS et al (2013) Patients’ knowledge and perceived reactions to medical errors in a tertiary health facility in Nigeria. African health sciences 13:820–828Google Scholar