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Exploration of students' reaction in medical error events and the impact of personalized training on the speaking-up behavior in medical error events.

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Title: Exploration of students' reaction in medical error events and the impact of personalized training on the speaking-up behavior in medical error events.
Authors: Chen, Yi-Chun1, Issenberg, S. Barry2, Chiu, Yu-Jui1, Chen, Hui-Wen3, Issenberg, Zachary4, Kang, Yi-No5,6,7,8, Lin, Che-Wei5,9, Wu, Jen-Chieh1,5,10
Source: Medical Teacher. Apr2023, Vol. 45 Issue 4, p368-374. 7p.
Subject Terms: *Psychology of medical students, *Assertiveness training, *Research methodology, *Simulation methods in education, *Student attitudes, Medical errors, Sex distribution, Descriptive statistics, Patient safety
Geographic Terms: Taiwan
Abstract: The ability of medical students to speak up before a medical error occurs is a timely and necessary interaction to prevent potential patient harm. As it may be crucial to improve patient safety, we explored how medical students react to a medical error and provided them appropriate training regarding speaking up about medical issues. A quasi-experimental study was conducted in Taiwan involving 153 medical students who participated in a speaking-up simulation course. They were divided into two groups. The first group participated in a non-life-threatening scenario before the intervention, followed by a personalized debriefing session, then a life-threatening scenario after the intervention. The second group participated in a life-threatening scenario before the intervention, followed by a personalized debriefing session, then a non-life-threatening scenario after the intervention. Students also completed patient safety attitude survey. During the preintervention scenario, the overall medical students' speaking-up rate to medical error was 45.1%. The speaking-up rate of medical students in life-threatening scenario was significantly higher than the rate in non-life-threatening scenario before the intervention (64.6% vs 24.3%, p < 0.001). After personalized debriefing, the speaking-up rate to medical errors was significantly improved both in life-threatening scenarios (95.9%, p < 0.001) and in non-life-threatening scenarios (100%, p < 0.001). Male medical students had significantly higher speaking-up rates than female students in life-threatening scenario (76.2% vs 51.4%, p = 0.02). On post-intervention surveys, students provided several reasons for their likelihood of speaking up or remaining silent during a medical error event. Medical students' rate of speaking-up to medical error was higher in a simulated life-threatening scenario than in a simulated non-life-threatening scenario. Faculty-led personalized debriefing can facilitate medical students' adoption of communication strategies to speak up more in medical error events. Educators should also consider gender differences when they design effective assertive communication courses. Practice points Personalized assertive communication training could improve medical students speaking up behavior in the event of medical error. The medical students have a higher rate of speaking up in the life-threatening scenario compared to the non-life-threatening scenario. Male students had a higher rate of speaking up than females in the life-threatening scenario but not in the non-life-threatening scenario. [ABSTRACT FROM AUTHOR]
Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Exploration of students&#39; reaction in medical error events and the impact of personalized training on the speaking-up behavior in medical error events.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Medical+Teacher%22&quot;&gt;Medical Teacher&lt;/searchLink&gt;. Apr2023, Vol. 45 Issue 4, p368-374. 7p.
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  Data: The ability of medical students to speak up before a medical error occurs is a timely and necessary interaction to prevent potential patient harm. As it may be crucial to improve patient safety, we explored how medical students react to a medical error and provided them appropriate training regarding speaking up about medical issues. A quasi-experimental study was conducted in Taiwan involving 153 medical students who participated in a speaking-up simulation course. They were divided into two groups. The first group participated in a non-life-threatening scenario before the intervention, followed by a personalized debriefing session, then a life-threatening scenario after the intervention. The second group participated in a life-threatening scenario before the intervention, followed by a personalized debriefing session, then a non-life-threatening scenario after the intervention. Students also completed patient safety attitude survey. During the preintervention scenario, the overall medical students&#39; speaking-up rate to medical error was 45.1%. The speaking-up rate of medical students in life-threatening scenario was significantly higher than the rate in non-life-threatening scenario before the intervention (64.6% vs 24.3%, p &lt; 0.001). After personalized debriefing, the speaking-up rate to medical errors was significantly improved both in life-threatening scenarios (95.9%, p &lt; 0.001) and in non-life-threatening scenarios (100%, p &lt; 0.001). Male medical students had significantly higher speaking-up rates than female students in life-threatening scenario (76.2% vs 51.4%, p = 0.02). On post-intervention surveys, students provided several reasons for their likelihood of speaking up or remaining silent during a medical error event. Medical students&#39; rate of speaking-up to medical error was higher in a simulated life-threatening scenario than in a simulated non-life-threatening scenario. Faculty-led personalized debriefing can facilitate medical students&#39; adoption of communication strategies to speak up more in medical error events. Educators should also consider gender differences when they design effective assertive communication courses. Practice points Personalized assertive communication training could improve medical students speaking up behavior in the event of medical error. The medical students have a higher rate of speaking up in the life-threatening scenario compared to the non-life-threatening scenario. Male students had a higher rate of speaking up than females in the life-threatening scenario but not in the non-life-threatening scenario. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Medical Teacher is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/0142159X.2022.2137394
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      – Code: eng
        Text: English
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        PageCount: 7
        StartPage: 368
    Subjects:
      – SubjectFull: Psychology of medical students
        Type: general
      – SubjectFull: Assertiveness training
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Simulation methods in education
        Type: general
      – SubjectFull: Student attitudes
        Type: general
      – SubjectFull: Medical errors
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Descriptive statistics
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      – SubjectFull: Patient safety
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      – SubjectFull: Taiwan
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      – TitleFull: Exploration of students' reaction in medical error events and the impact of personalized training on the speaking-up behavior in medical error events.
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              Text: Apr2023
              Type: published
              Y: 2023
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