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Review

Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care

In: Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 2: Culture and Redesign). Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Aug.
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Review

Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care

Hardeek H. Shah et al.
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Excerpt

Objective: Little is known about the awareness, understanding, and attitudes of emergency medicine (EM) trainees regarding the medicolegal aspects of adverse events statewide. Investigators evaluated EM trainees’ perception of adverse events and medical negligence in Rhode Island. Methods: A cross-sectional questionnaire study was conducted during a randomly selected EM trainee conference. EM trainees rotated in a 966-bed health care system with annual adult and pediatric ED census of over 190,000 patients. Results: Of 28 EM trainees, 17 (61 percent sample; 35 percent target population) participated in the questionnaire assessment. Two-thirds of respondents indicated that health professionals not working together or not communicating as a team were very important causes of adverse events; 12 of 16 respondents properly defined negligence; 5 respondents were able to provide an appropriate example of an adverse event due to negligence. Conclusion: EM trainees are cognizant of adverse events and their causes and perceive medical negligence as a significant problem.

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