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Korean J Med Educ > Volume 22(4); 2010 > Article
Korean Journal of Medical Education 2010;22(4): 303-311. doi: https://doi.org/10.3946/kjme.2010.22.4.303
외과실습에서 의료 오류 예방 및 관리 능력 개발을 위한 환자안전교육의 효과
노혜린1, 이건욱2, 이윤성3, 김옥주4, 김선회2, 최재운5
1강원대학교 의학전문대학원 외과학교실
2서울대학교 의과대학 외과학교실
3서울대학교 의과대학 법의학교실
4서울대학교 의과대학 의사학교실
5충북대학교 의과대학 외과학교실
Effect of Patient Safety Education in Surgical Clerkship to Develop Competencies for Managing and Preventing Medical Errors
HyeRin Roh1, Kuhn Uk Lee2, Yoon Seong Lee3, Ock Joo Kim4, Sun Whe Kim2, Jae Woon Choi5
1Department of Surgery, Kangwon National University School of Medicine, Chuncheon, Korea.
2Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
3Department of Forensic Medicine, Seoul National University College of Medicine, Seoul, Korea.
4Department of Medical History, Seoul National University College of Medicine, Seoul, Korea.
5Department of Surgery, Chungbuk National University College of Medicine, Cheongju, Korea.
Corresponding Author: HyeRin Roh, Tel: +82.33.258.2306, Fax: +82.33.258.2169, Email: hyerinr@kangwon.ac.kr
Received: June 23, 2010;   Revised: July 28, 2010;  Accepted: August 13, 2010.
ABSTRACT
PURPOSE: The aims of this study were to define the necessity and effectiveness of patient safety education during surgical clerkship to develop competency for managing and preventing medical errors. METHODS: Fifty 3rd-year students participated in the patient safety education program during a 4-week surgical clerkship. The students were divided into 4 groups: control group, pretest-only group, education-only group, and pretest and education group. Students were assessed using short essays and an oral exam for reasoning skills, clinical performance exams for patient education and communication skills, and multisource feedback and direct observation of error reporting for real-world problem-solving skills. The results were analyzed with SPSS 14.0K. The reliability (Cronbach alpha) of the entire assessment was 0.893. RESULTS: There was no difference in scores between early and late clerkship groups. Reasoning skills were improved by the pretest. Reasoning, patient education, and error reporting skills were much more developed by patient safety education. Real-world error identification, reporting, and communication did not change after the 4-week course. CONCLUSIONS: Patient safety education during surgical clerkship is necessary and effective. Error prevention and competency management in the real world should developed.
Keywords: Safety management;Clinical competence;Clinical clerkship
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