Drug Calculation Errors in Anesthesiology Residents and Faculty: An Analysis of Contributing Factors

Shira Black, Jerrold Lerman, Shawn E. Banks, Dena Noghrehkar, Luciana Curia, Christine L. Mai, Deborah Schwengel, Corey K. Nelson, James M.T. Foster, Stephen Breneman, Kris L. Arheart

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

BACKGROUND: Limited data exist regarding computational drug error rates in anesthesia residents and faculty. We investigated the frequency and magnitude of computational errors in a sample of anesthesia residents and faculty. METHODS: With institutional review board approval from 7 academic institutions in the United States, a 15-question computational test was distributed during rounds. Error rates and the magnitude of the errors were analyzed according to resident versus faculty, years of practice (or residency training), duration of sleep, type of question, and institution. RESULTS: A total of 371 completed the test: 209 residents and 162 faculty. Both groups committed 2 errors (median value) per test, for a mean error rate of 17.0%. Twenty percent of residents and 25% of faculty scored 100% correct answers. The error rate for postgraduate year 2 residents was less than for postgraduate year 1 (P = .012). The error rate for faculty increased with years of experience, with a weak correlation (R = 0.22; P = .007). The error rates were independent of the number of hours of sleep. The error rate for percentage-type questions was greater than for rate, dose, and ratio questions (P = .001). The error rates varied with the number of operations needed to calculate the answer (P < .001). The frequency of large errors (100-fold greater or less than the correct answer) by residents was twice that of faculty. Error rates varied among institutions ranged from 12% to 22% (P = .021). CONCLUSIONS: Anesthesiology residents and faculty erred frequently on a computational test, with junior residents and faculty with more experience committing errors more frequently. Residents committed more serious errors twice as frequently as faculty.

Original languageEnglish (US)
Pages (from-to)1292-1299
Number of pages8
JournalAnesthesia and analgesia
Volume128
Issue number6
DOIs
StatePublished - Jun 1 2019
Externally publishedYes

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Anesthesiology
Statistical Factor Analysis
Pharmaceutical Preparations
Sleep
Anesthesia
Research Ethics Committees
Internship and Residency

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Drug Calculation Errors in Anesthesiology Residents and Faculty : An Analysis of Contributing Factors. / Black, Shira; Lerman, Jerrold; Banks, Shawn E.; Noghrehkar, Dena; Curia, Luciana; Mai, Christine L.; Schwengel, Deborah; Nelson, Corey K.; Foster, James M.T.; Breneman, Stephen; Arheart, Kris L.

In: Anesthesia and analgesia, Vol. 128, No. 6, 01.06.2019, p. 1292-1299.

Research output: Contribution to journalArticle

Black, S, Lerman, J, Banks, SE, Noghrehkar, D, Curia, L, Mai, CL, Schwengel, D, Nelson, CK, Foster, JMT, Breneman, S & Arheart, KL 2019, 'Drug Calculation Errors in Anesthesiology Residents and Faculty: An Analysis of Contributing Factors', Anesthesia and analgesia, vol. 128, no. 6, pp. 1292-1299. https://doi.org/10.1213/ANE.0000000000004013
Black, Shira ; Lerman, Jerrold ; Banks, Shawn E. ; Noghrehkar, Dena ; Curia, Luciana ; Mai, Christine L. ; Schwengel, Deborah ; Nelson, Corey K. ; Foster, James M.T. ; Breneman, Stephen ; Arheart, Kris L. / Drug Calculation Errors in Anesthesiology Residents and Faculty : An Analysis of Contributing Factors. In: Anesthesia and analgesia. 2019 ; Vol. 128, No. 6. pp. 1292-1299.
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abstract = "BACKGROUND: Limited data exist regarding computational drug error rates in anesthesia residents and faculty. We investigated the frequency and magnitude of computational errors in a sample of anesthesia residents and faculty. METHODS: With institutional review board approval from 7 academic institutions in the United States, a 15-question computational test was distributed during rounds. Error rates and the magnitude of the errors were analyzed according to resident versus faculty, years of practice (or residency training), duration of sleep, type of question, and institution. RESULTS: A total of 371 completed the test: 209 residents and 162 faculty. Both groups committed 2 errors (median value) per test, for a mean error rate of 17.0{\%}. Twenty percent of residents and 25{\%} of faculty scored 100{\%} correct answers. The error rate for postgraduate year 2 residents was less than for postgraduate year 1 (P = .012). The error rate for faculty increased with years of experience, with a weak correlation (R = 0.22; P = .007). The error rates were independent of the number of hours of sleep. The error rate for percentage-type questions was greater than for rate, dose, and ratio questions (P = .001). The error rates varied with the number of operations needed to calculate the answer (P < .001). The frequency of large errors (100-fold greater or less than the correct answer) by residents was twice that of faculty. Error rates varied among institutions ranged from 12{\%} to 22{\%} (P = .021). CONCLUSIONS: Anesthesiology residents and faculty erred frequently on a computational test, with junior residents and faculty with more experience committing errors more frequently. Residents committed more serious errors twice as frequently as faculty.",
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AU - Banks, Shawn E.

AU - Noghrehkar, Dena

AU - Curia, Luciana

AU - Mai, Christine L.

AU - Schwengel, Deborah

AU - Nelson, Corey K.

AU - Foster, James M.T.

AU - Breneman, Stephen

AU - Arheart, Kris L.

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N2 - BACKGROUND: Limited data exist regarding computational drug error rates in anesthesia residents and faculty. We investigated the frequency and magnitude of computational errors in a sample of anesthesia residents and faculty. METHODS: With institutional review board approval from 7 academic institutions in the United States, a 15-question computational test was distributed during rounds. Error rates and the magnitude of the errors were analyzed according to resident versus faculty, years of practice (or residency training), duration of sleep, type of question, and institution. RESULTS: A total of 371 completed the test: 209 residents and 162 faculty. Both groups committed 2 errors (median value) per test, for a mean error rate of 17.0%. Twenty percent of residents and 25% of faculty scored 100% correct answers. The error rate for postgraduate year 2 residents was less than for postgraduate year 1 (P = .012). The error rate for faculty increased with years of experience, with a weak correlation (R = 0.22; P = .007). The error rates were independent of the number of hours of sleep. The error rate for percentage-type questions was greater than for rate, dose, and ratio questions (P = .001). The error rates varied with the number of operations needed to calculate the answer (P < .001). The frequency of large errors (100-fold greater or less than the correct answer) by residents was twice that of faculty. Error rates varied among institutions ranged from 12% to 22% (P = .021). CONCLUSIONS: Anesthesiology residents and faculty erred frequently on a computational test, with junior residents and faculty with more experience committing errors more frequently. Residents committed more serious errors twice as frequently as faculty.

AB - BACKGROUND: Limited data exist regarding computational drug error rates in anesthesia residents and faculty. We investigated the frequency and magnitude of computational errors in a sample of anesthesia residents and faculty. METHODS: With institutional review board approval from 7 academic institutions in the United States, a 15-question computational test was distributed during rounds. Error rates and the magnitude of the errors were analyzed according to resident versus faculty, years of practice (or residency training), duration of sleep, type of question, and institution. RESULTS: A total of 371 completed the test: 209 residents and 162 faculty. Both groups committed 2 errors (median value) per test, for a mean error rate of 17.0%. Twenty percent of residents and 25% of faculty scored 100% correct answers. The error rate for postgraduate year 2 residents was less than for postgraduate year 1 (P = .012). The error rate for faculty increased with years of experience, with a weak correlation (R = 0.22; P = .007). The error rates were independent of the number of hours of sleep. The error rate for percentage-type questions was greater than for rate, dose, and ratio questions (P = .001). The error rates varied with the number of operations needed to calculate the answer (P < .001). The frequency of large errors (100-fold greater or less than the correct answer) by residents was twice that of faculty. Error rates varied among institutions ranged from 12% to 22% (P = .021). CONCLUSIONS: Anesthesiology residents and faculty erred frequently on a computational test, with junior residents and faculty with more experience committing errors more frequently. Residents committed more serious errors twice as frequently as faculty.

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