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PSNet: Patient Safety Network
Journal Article
Study

Use of error management theory to quantify and characterize residents' error recovery strategies.

Pugh CM, Law KE, Cohen ER, et al. Am J Surg. 2020;219(2):214-220.

Using a human factors engineering framework, this study reviewed video of residents performing a simulated hernia repair to identify and characterize errors, error detection and error recovery. The twenty participating residents made 314 errors; the majority were technical errors (63%) and commission errors (69%; defined as failure to perform a surgical step correctly). Nearly half of all errors went undetected by the residents during the procedure, but when errors were detected, the majority were able to be resolved.