The room of errors: An innovative learning tool to enhance patient safety in intensive care

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Imen Ben Saida
Mohamed Kahloul
Raoudha Chrigui
Imene Kacem
Helmi Ben Saad
Walid Naija

Abstract

Introduction : Patient safety is a major concern in healthcare, particularly in intensive care units. While the room of errors (RoE) has proven to be an effective pedagogical tool for preventing medical errors, its application in the initial medical training of healthcare professionals in Tunisia remains under-explored.


Aims. To i) Describe the methods used to implement a RoE in a Tunisian university setting, ii) Analyze the errors made by learners, and iii) Evaluate the impact of RoE on participants' knowledge and satisfaction.


Methods : This was a cross-sectional descriptive study conducted on May, 2024, at the simulation center of the Faculty of Medicine of Sousse (Tunisia), involving third-year students in the anesthesia and resuscitation section of the private university of health sciences in Tunisia (n=20), and first-year students of the second cycle of medical studies (n=11), who were completing their anesthesia and resuscitation medicine internship at Sahloul hospital (Sousse, Tunisia).


Results : Twenty-six students were included in the study. The median [interquartile range] of detected errors was 3.5 [3.0-5.0]. Pre- and post- tests showed an improvement in participants' theoretical knowledge regarding hemorrhagic shock after the debriefing session. Nevertheless, some gaps persisted, suggesting the need to delve deeper into certain points in future sessions. The evaluation results showed that the RoE was highly appreciated by most participants.


Conclusion : RoE is an innovative and particularly effective pedagogical tool to promote a positive error culture and enhance patient safety.

Keywords:

Education , Medical, Medical Errors, Patient Safety, Simulation Training, Tunisia

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Author Biographies

Mohamed Kahloul, Department of Anaesthesia and Intensive Care, Sahloul Hospital, Sousse, Faculty of Medicine, University of Sousse, Tunisia

Professeur agrégé en anesthesie réanimation 

Raoudha Chrigui, Department of Anaesthesia and Intensive Care, Sahloul Hospital, Sousse, Faculty of Medicine, University of Sousse, Tunisia

Professeur agrégé en anesthesie réanimation 

Imene Kacem, Department of Occupational Medicine, Farhat Hached Hospital, Sousse, Faculty of Medicine, University of Sousse, Tunisia

Professeur agrégé en medecine de travail 

Helmi Ben Saad, Physiology and Functional Explorations Laboratory, LR12SP09 “Heart Failure” Research Laboratory, Sousse, Farhat Hached Hospital, Faculty of Medicine of Sousse, University of Sousse, Tunisia

Professeur en physiologie et explorations Fonctionnelles

Walid Naija, Department of Anaesthesia and Intensive Care, Sahloul Hospital, Sousse, Simulation Centre, Faculty of Medicine, University of Sousse, Sousse, Tunisia

Professeur en anesthésie réanimation 

Cheff de service d'anesthésie réanimation Sahloul de SOUSSE 

Directeur du centre de simulation à la faculté de médecine de Sousse 

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