A Survey on Residents' Awareness of Patient Safety at the End of the First Year of Residency

  • AOKI Akiko
    Center for Residency Program, Yokohama City University Hospital
  • IJIRI Rieko
    Department of Medical Education, Yokohama City University School of Medicine
  • HASHIMOTO Michio
    Center for Risk Management & Patient Safety, Yokohama City University Hospital
  • HASEGAWA Osamu
    Center for Risk Management & Patient Safety, Yokohama City University Medical Center
  • GOTO Eiji
    Department of Medical Education, Yokohama City University School of Medicine

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Other Title
  • 初期研修1年終了時の研修医の医療安全意識
  • ショキ ケンシュウ 1ネン シュウリョウジ ノ ケンシュウイ ノ イリョウ アンゼン イシキ

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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.

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