Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study.

Dorien L M Zwart; Wendelien S Heddema; Margit I Vermeulen; Elizabeth L J van Rensen; Theo J M Verheij; Cor J Kalkman

Study

Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study.

October 5, 2011

Zwart DLM, Heddema WS, Vermeulen MI, et al. BMJ Qual Saf. 2011;20(10):857-62.

View more articles from the same authors.

Voluntary error reporting systems have traditionally been hampered by low reporting rates among physicians. This Dutch analysis of an initiative to encourage error reporting among resident physicians found that residents who reported errors or near misses scored more highly on objective performance assessments compared with their peers who did not file any reports.

PubMed citation

Available at

Related Resources From the Same Author(s)

Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study.

February 23, 2011

Improving patient safety culture in primary care: a systematic review.

September 7, 2016

Effects of patient safety culture interventions on incident reporting in general practice: a cluster randomised trial.

June 17, 2015

Stakeholder perspectives on handovers between hospital staff and general practitioners: an evaluation through the microsystems lens.

November 28, 2012

Multitasking during patient handover in the recovery room.

January 16, 2013

Raising awareness of cognitive biases during diagnostic reasoning.

June 29, 2016

Why patient safety is such a tough nut to crack.

July 6, 2011

When do supervising physicians decide to entrust residents with unsupervised tasks?

September 8, 2010

Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polypharmacy patients in primary care.

November 6, 2019

Comparative effectiveness of a serious game and an e-module to support patient safety knowledge and awareness.

February 22, 2017

Improving patient handovers from hospital to primary care: a systematic review.

October 3, 2012

Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table.

May 3, 2023

Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study.

January 30, 2005

Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons from a case-control study.

February 3, 2021

Predictors of adverse events and medical errors among adult inpatients of psychiatric units of acute care general hospitals.

January 30, 2019

Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial.

May 22, 2013

Prioritising recommendations following analyses of adverse events in healthcare: a systematic review.

November 4, 2020

The trigger tool as a method to measure harmful medication errors in children.

May 13, 2015

January 19, 2011

Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment.

July 2, 2008

Accuracy of pediatric trauma field triage: a systematic review.

May 30, 2018

Functional safety of health information technology.

April 18, 2012

Possible solutions for barriers in incident reporting by residents.

December 8, 2010

Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review.

May 19, 2010

Risk factors for clinically relevant deviations in patients' medication lists reported by patients in personal health records: a prospective cohort study in a hospital setting.

March 2, 2022

Dedicated teams to optimize quality and safety of surgery: a systematic review.

November 16, 2022

The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events.

May 13, 2009

Time motion study in a pediatric emergency department before and after computer physician order entry.

December 10, 2008

The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review.

April 15, 2009

The next step in learning from sentinel events in healthcare.

April 15, 2020

The value of autopsies in the era of high-tech medicine: discrepant findings persist.

April 9, 2014

Surgical fires, a clear and present danger.

April 28, 2010

Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review.

September 28, 2016

Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients.

July 23, 2014

Strategies to reduce the risk of iatrogenic illness in complex older adults.

May 15, 2013

Clinical pharmacy interventions in paediatric electronic prescriptions.

May 15, 2013

Performance variability in perioperative sentinel events: report on a nationwide data set.

April 20, 2022

Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians.

November 27, 2013

Where are my instruments? Hazards in delivery of surgical instruments.

August 10, 2016

Quiet please! Drug round tabards: are they effective and accepted? A mixed method study.

July 9, 2014

Prevalence of medication transfer errors in nephrology patients and potential risk factors.

November 6, 2019

Comparing rates of adverse events and medical errors on inpatient psychiatric units at Veterans Health Administration and community-based general hospitals.

November 6, 2019

Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada.

June 15, 2011

Delayed recognition of deterioration of patients in general wards is mostly caused by human related monitoring failures: a root cause analysis of unplanned ICU admissions.

September 7, 2016

Building safer systems by ecological design: using restoration science to develop a medication safety intervention.

April 12, 2006

Results of a survey among GP practices on how they manage patient safety aspects related to point-of-care testing in every day practice.

April 22, 2015

Safety perceptions of health care leaders in 2 Canadian academic acute care centers.

June 7, 2017

Increase in US medication-error deaths between 1983 and 1993.

March 6, 2005

Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study.

April 23, 2014

Team communication in the operating room.

August 10, 2005

Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey.

September 2, 2020

Developing an intervention to reduce harm in hospitalized patients: patients and families in research.

December 5, 2018

Perspectives on patient and family engagement with reduction in harm: the forgotten voice.

August 15, 2018

Inappropriateness of medication prescriptions to elderly patients in the primary care setting: a systematic review.

September 19, 2012

February 26, 2020

Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported practices.

August 26, 2009

Can the aviation industry be useful in teaching oncology about safety?

December 6, 2017

Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project.

December 22, 2021

Measuring patient safety climate: a review of surveys.

October 12, 2005

Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool.

June 30, 2010

Relationship between tort claims and patient incident reports in the Veterans Health Administration.

April 21, 2005

Interventions for reducing medication errors in children in hospital.

October 28, 2015

Transformative learning in a professional development course aimed at addressing disruptive physician behavior: a composite case study.

January 23, 2013

Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system.

February 20, 2008

Systematic review of serious games for medical education and surgical skills training.

November 21, 2012

Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners.

February 4, 2015

Accident analysis of large-scale technological disasters applied to an anaesthetic complication.

March 6, 2005

Development, implementation, and dissemination of the I-PASS Handoff Curriculum: a multisite educational intervention to improve patient handoffs.

June 25, 2014

First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes.

October 31, 2012

A multi-stakeholder consensus-driven research agenda for better understanding and supporting the emotional impact of harmful events on patients and families.

July 11, 2018

Errors during the preparation of drug infusions: a randomized controlled trial.

August 22, 2012

Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial.

June 20, 2007

Gender, power and leadership: the effect of a superior's gender on respiratory therapists' ability to challenge leadership during a life-threatening emergency.

December 13, 2017

Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency.

December 2, 2015

Crisis management during anaesthesia: the development of an anaesthetic crisis management manual.

June 22, 2005

Medication errors reported by US family physicians and their office staff.

August 20, 2008

Medication error prevention by pharmacists.

March 6, 2005

State of science: evolving perspectives on ‘human error’.

March 16, 2022

Anaesthetists' management of oxygen pipeline failure: room for improvement.

January 31, 2007

Do patients' disruptive behaviours influence the accuracy of a doctor's diagnosis? A randomised experiment.

March 23, 2016

Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative review.

May 10, 2023

Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation.

August 26, 2009

Adverse events in hospitals: the patient's point of view.

April 14, 2010

Disclosing adverse events in clinical practice: the delicate act of being open.

February 2, 2022

The Harvard Medical Practice Study trigger system performance in deceased patients.

May 1, 2019

Five topics health care simulation can address to improve patient safety: results from a consensus process.

April 27, 2016

Collective intelligence meets medical decision-making: the collective outperforms the best radiologist.

September 9, 2015

The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial.

February 25, 2009

Time to listen: a review of methods to solicit patient reports of adverse events.

April 14, 2010

Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study.

August 10, 2022

Interventions to improve team effectiveness: a systematic review.

November 18, 2009

Effectiveness of acute care remote triage systems: a systematic review.

February 5, 2020

Effect of availability bias and reflective reasoning on diagnostic accuracy among internal medicine residents.

October 6, 2010

Why do doctors make mistakes? A study of the role of salient distracting clinical features.

December 11, 2013

EAU policy on live surgery events.

March 12, 2014

Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned?

April 4, 2018

Training situational awareness to reduce surgical errors in the operating room.

February 25, 2015

Resident uncertainty in clinical decision making and impact on patient care: a qualitative study.

April 16, 2008

Medical and nursing staff highly value clinical pharmacists in the emergency department.

December 19, 2007

Medication reconciliation performed by pharmacy technicians at the time of preoperative screening.

July 29, 2009

Related Resources

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action.

September 21, 2022

Exploring nurses' attitudes, skills, and beliefs of medication safety practices.

August 24, 2022

I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting by trainees.

August 25, 2021

What became of the 'eyes and the ears'?: exploring the challenges to reporting poor quality of care among trainee medical staff.

August 11, 2021

Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: a systematic review and meta-analysis.

August 4, 2021

Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school.

January 20, 2021

Hospital medication errors: a cross sectional study.

December 23, 2020

Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety.

December 9, 2020

"Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation.

December 9, 2020

Participation in a system-thinking simulation experience changes adverse event reporting.

July 8, 2020

Critical errors in infrequently performed trauma procedures after training.

November 20, 2019

Association of residency work hour reform with long term quality and costs of care of US physicians: observational study.

July 24, 2019

Patient and physician experience with interhospital transfer: a qualitative study.

May 29, 2019

Improving resident and fellow engagement in patient safety through a graduate medical education incentive program.

January 23, 2019

Using patient safety reporting systems to understand the clinical learning environment: a content analysis.

January 9, 2019

Impact of high-reliability education on adverse event reporting by registered nurses.

October 10, 2018

Do words matter? Stigmatizing language and the transmission of bias in the medical record.

January 26, 2018

Simulation techniques for teaching time-outs: a controlled trial.

June 1, 2016

The effects of power, leadership and psychological safety on resident event reporting.

June 1, 2016

Developing a reporting and tracking tool for nursing student errors and near misses.

May 28, 2014

The effect of an organizational network for patient safety on safety event reporting.

August 28, 2013

Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors?

June 5, 2013

From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings.

May 1, 2013

The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in-training.

February 20, 2013

Internal medicine trainees' views of training adequacy and duty hours restrictions in 2009.

September 19, 2012

Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors.

September 5, 2012

Changes in intern attitudes toward medical error and disclosure.

July 25, 2012

Handing over patient care: is it just the old broken telephone game?

November 9, 2011

From blaming to learning: re-framing organisational learning from adverse incidents.

October 26, 2011

See More About The Topic

General Hospitals

Quality and Safety Professionals

Educators

Epidemiology of Errors and Adverse Events

Institutional Reporting

Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site