title: Online patient safety education programme for junior doctors: is it worthwhile?
abstract: BACKGROUND
  Increasing demand exists for blended approaches to the development of professionalism. Trainees of the Royal College of Physicians of Ireland participated in an online patient safety programme.
  
  
  OBJECTIVE
  Study aims were: (1) to determine whether the programme improved junior doctors' knowledge, attitudes and skills relating to error reporting, open communication and care for the second victim and (2) to establish whether the methodology facilitated participants' learning.
  
  
  METHODS
  208 junior doctors who completed the programme completed a pre-online questionnaire. Measures were "patient safety knowledge and attitudes", "medical safety climate" and "experience of learning". Sixty-two completed the post-questionnaire, representing a 30 % matched response rate.
  
  
  RESULTS
  Participating in the programme resulted in immediate (p < 0.01) improvement in skills such as knowing when and how to complete incident forms and disclosing errors to patients, in self-rated knowledge (p < 0.01) and attitudes towards error reporting (p < 0.01). Sixty-three per cent disagreed that doctors routinely report medical errors and 42 % disagreed that doctors routinely share information about medical errors and what caused them. Participants rated interactive features as the most positive elements of the programme.
  
  
  CONCLUSIONS
  An online training programme on medical error improved self-rated knowledge, attitudes and skills in junior doctors and was deemed an effective learning tool. Perceptions of work issues such as a poor culture of error reporting among doctors may prevent improved attitudes being realised in practice. Online patient safety education has a role in practice-based initiatives aimed at developing professionalism and improving safety.
authors.affiliation: Institute of Leadership, Royal College of Surgeons in Ireland, Reservoir House, Ballymoss Road, Sandyford, Dublin 18, Ireland. smccarthy@rcsi.ie.
authors.forename: S E
authors.initials: SE
authors.lastname: McCarthy
authors.affiliation: Institute of Leadership, Royal College of Surgeons in Ireland, Reservoir House, Ballymoss Road, Sandyford, Dublin 18, Ireland.
authors.forename: C A
authors.initials: CA
authors.lastname: O'Boyle
authors.affiliation: Education and Professional Development Department, Royal College of Physicians of Ireland, Frederick House, 19 South Frederick Street, Dublin 2, Ireland.
authors.forename: A
authors.initials: A
authors.lastname: O'Shaughnessy
authors.affiliation: Education and Professional Development Department, Royal College of Physicians of Ireland, Frederick House, 19 South Frederick Street, Dublin 2, Ireland.
authors.forename: G
authors.initials: G
authors.lastname: Walsh
mesh_terms: D000328:Adult; D003142:Communication; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007494:Ireland; D008297:Male; D008505:Medical Staff, Hospital / Q000193:education*; D008875:Middle Aged; D061214:Patient Safety; D010820:Physicians / Q000592:standards*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: E-learning; Junior doctors; Patient safety; Professionalism; Survey