Burnout has been described as a syndrome of emotional exhaustion, depersonalization, and decreased personal accomplishment, may originate during medical school. The objective this study is to determine the prevalence burnout contributing factors in students.A survey was administered 249 students using modified Maslach Inventory Human Services Survey (MBI-HSS) scales stressors, assessment workload, relaxation, control, support systems, demographics.Moderate or high degree seen 21% first year...

Delays in diagnosis and treatment are widely considered to be threats outpatient safety. However, few studies have identified described what factors contribute delays that might result patient harm the setting. We analyzed 111 root cause analysis reports investigated such were submitted Veterans Affairs National Center for Patient Safety period 2005–12. The most common contributing noted included coordination problems resulting from inadequate follow-up planning, delayed scheduling...

Objective: The primary objective of this study was to create a methodology for measuring transient levels physician workload in live emergency department (ED) environment. Background: Characterizing, defining, and aspects interrupt-driven work environment represent the preliminary steps addressing impending issues concerning ED overcrowding, efficiency, patient provider safety. Methods: A time-motion task analysis conducted. Twenty medicine (EM) physicians were observed 180-min intervals an...

The clinical teaching of medical students is essential to medicine; however, often may not inform patients their inexperience. Hence do have the opportunity consent specifically procedures being performed by students.The purpose this study was determine whether patients, when informed inexperience a student, would still procedure.Adult emergency department (114) were enrolled if they required one following procedures: sutures, intravenous (i.v.) access or splinting. Patients first surveyed...

Consent for teaching procedures has been the focus of ethical discussion recently. Patients may consent to a procedure but be unaware that is performed by resident, perhaps first time. In such cases, patients have not specifically consented practice medical procedures. The authors studied patients' awareness resident training and willingness allow residents perform on them.A survey was administered convenience sample 202 Vanderbilt University Medical Center emergency department from February...

To assess patients' understanding of levels training and responsibilities for residents, medical students, attendings in the emergency department as well their degree comfort being cared by a physician-in-training.In 1999, questionnaire was administered to convenience sample 430 adult patients family members university department. The asked demographic information contained 17 questions addressing different seven opinion-based on willingness have physicians-in-training care them.Respondents...

Communication failure is a significant source of adverse events in health care and leading root cause sentinel reported to the Joint Commission. The Veterans Health Administration National Center for Patient Safety established Clinical Team Training (CTT) as comprehensive program enhance patient safety improve communication teamwork among professionals. CTT based on techniques used aviation's Crew Resource Management (CRM) training. aviation industry has reached record large part related...

There is a high risk for death by suicide after discharge from an inpatient mental health unit. To better understand system and organizational factors associated with postdischarge suicide, we reviewed root cause analysis reports of within 7 days across all Veterans Health Administration units between 2002 2015. were 141 discharge, large proportion (43.3%, n = 61) followed unplanned discharge. Root causes fell into three major themes including challenges clinicians patients the established...

To assess patients' knowledge of the responsibilities and roles physician training in ED.This was a prospective survey convenience sample 345 adult patients family members an academic county ED. Thirty questions addressed different roles, responsibilities, hierarchies levels training. Four opinion-based assessed willingness to have physicians-in-training care for them.96.5% surveys were returned. Of participants responding, 68% Hispanic, 23% non-Hispanic white, 55% women. Forty percent...

Despite the recognized value of Joint Commission's Universal Protocol and implementation time-outs, incorrect surgical procedures are still among most common types sentinel events can have fatal consequences.To examine a root cause analysis database for reported wrong-side thoracenteses to determine contributing factors associated with their occurrence.We searched National Center Patient Safety performed in ambulatory clinics hospital units other than operating room from January 1, 2004,...

Assessments of the clinical learning environment could allow early interventions to improve graduate medical education. To date, measurement tools for this have not been identified.We established concurrent validity 2 instruments that assess cultural facets by correlating them with external program evaluation data.In 2017 we surveyed residents across 19 training programs on their perceptions organizational support using Short Survey Perceived Organizational Support (SPOS), and psychological...

Medical students rank residency programs as part of the selection process in National Resident Matching Program, also known match. Applicants to medical positions are protected against discriminatory employment practices by federal laws.To explore students' recall being asked potentially illegal or questions during interview, and whether these affected ranking match.Fourth-year from a single school were surveyed after Students questioned about their frequency interview effect on program's...