The determinants of professional incompetence: an analysis of medical errors from the intellectual capital perspective.

Saved in:
Bibliographic Details
Title: The determinants of professional incompetence: an analysis of medical errors from the intellectual capital perspective.
Authors: Duan-Rung Chen, Tsui-Hua Kuo
Source: International Journal of Learning & Intellectual Capital. 2008, Vol. 5 Issue 3/4, p3-3. 1p.
Subject Terms: *Clinical competence, *Occupational training, Medical errors, Intellectual capital, Surgeons
Geographic Terms: Taiwan
Abstract: According to an estimation from the Institute of Medicine (IOM) (1999), 44,000 to 98,000 people died from medical errors in the USA. Medical errors are considered as the most important quality-related performance indicator for both healthcare organisations and professionals. This study applied the analytical framework of intellectual capital by Edvinsson and Malone (1997) to explore the factors associated with professional incompetence with a sample of 407 Taiwanese surgeons. Intellectual capital has been proposed to capture the intangible aspect of organisational process. We proposed that doctors' professional incompetence cannot be considered as individual-level attributes, but should be examined as the results determined by multiple interactions among human, social and organisational capital. The results of the study revealed that among all the types of medical errors reported by surgeons, the types that occur most often are misdiagnosis and delay diagnosis. Higher professional training is more likely to reduce the incidence of adverse surgical errors. Organisational capital, including establishing a formal reporting procedure, feedback mechanisms and the reduction of interruptions during surgery, can all reduce the reported surgical errors. Surgeons who frequently change their practicing organisations are less likely to accumulate hospital-specific experiences, which are needed for effective surgical teamwork, and are consequently more likely to have surgical errors. Professional incompetence, measured by medical errors, can reflect the multiple interactions between different components of intellectual capital in healthcare organisations. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Learning & Intellectual Capital is the property of Inderscience Enterprises 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.)
Database: Education Research Complete
FullText Text:
  Availability: 0
Header DbId: ehh
DbLabel: Education Research Complete
An: 36098362
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: The determinants of professional incompetence: an analysis of medical errors from the intellectual capital perspective.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Duan-Rung+Chen%22">Duan-Rung Chen</searchLink><br /><searchLink fieldCode="AR" term="%22Tsui-Hua+Kuo%22">Tsui-Hua Kuo</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Learning+%26+Intellectual+Capital%22">International Journal of Learning & Intellectual Capital</searchLink>. 2008, Vol. 5 Issue 3/4, p3-3. 1p.
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: *<searchLink fieldCode="DE" term="%22Clinical+competence%22">Clinical competence</searchLink><br />*<searchLink fieldCode="DE" term="%22Occupational+training%22">Occupational training</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+errors%22">Medical errors</searchLink><br /><searchLink fieldCode="DE" term="%22Intellectual+capital%22">Intellectual capital</searchLink><br /><searchLink fieldCode="DE" term="%22Surgeons%22">Surgeons</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Taiwan%22">Taiwan</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: According to an estimation from the Institute of Medicine (IOM) (1999), 44,000 to 98,000 people died from medical errors in the USA. Medical errors are considered as the most important quality-related performance indicator for both healthcare organisations and professionals. This study applied the analytical framework of intellectual capital by Edvinsson and Malone (1997) to explore the factors associated with professional incompetence with a sample of 407 Taiwanese surgeons. Intellectual capital has been proposed to capture the intangible aspect of organisational process. We proposed that doctors' professional incompetence cannot be considered as individual-level attributes, but should be examined as the results determined by multiple interactions among human, social and organisational capital. The results of the study revealed that among all the types of medical errors reported by surgeons, the types that occur most often are misdiagnosis and delay diagnosis. Higher professional training is more likely to reduce the incidence of adverse surgical errors. Organisational capital, including establishing a formal reporting procedure, feedback mechanisms and the reduction of interruptions during surgery, can all reduce the reported surgical errors. Surgeons who frequently change their practicing organisations are less likely to accumulate hospital-specific experiences, which are needed for effective surgical teamwork, and are consequently more likely to have surgical errors. Professional incompetence, measured by medical errors, can reflect the multiple interactions between different components of intellectual capital in healthcare organisations. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of International Journal of Learning & Intellectual Capital is the property of Inderscience Enterprises 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.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=36098362
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1504/IJLIC.2008.021013
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 1
        StartPage: 3
    Subjects:
      – SubjectFull: Clinical competence
        Type: general
      – SubjectFull: Occupational training
        Type: general
      – SubjectFull: Medical errors
        Type: general
      – SubjectFull: Intellectual capital
        Type: general
      – SubjectFull: Surgeons
        Type: general
      – SubjectFull: Taiwan
        Type: general
    Titles:
      – TitleFull: The determinants of professional incompetence: an analysis of medical errors from the intellectual capital perspective.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Duan-Rung Chen
      – PersonEntity:
          Name:
            NameFull: Tsui-Hua Kuo
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 07
              Text: 2008
              Type: published
              Y: 2008
          Identifiers:
            – Type: issn-print
              Value: 14794853
          Numbering:
            – Type: volume
              Value: 5
            – Type: issue
              Value: 3/4
          Titles:
            – TitleFull: International Journal of Learning & Intellectual Capital
              Type: main
ResultId 1