Avoidable iatrogenic complications of male urethral catheterisation and inadequate intern training: A 4-year follow-up post implementation of an intern training programme

Abstract Objective To assess the impact of a structured training programme in urethral catheterisation (UC) targeted at newly qualified junior doctors on rates of iatrogenic catheter morbidity within a tertiary care referral centre. Subjects and methods Male UC-related morbidities were retrospective...

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Bibliographic Details
Published in:The surgeon (Edinburgh) 2015-02, Vol.13 (1), p.15-18
Main Authors: Sullivan, J.F, Forde, J.C, Thomas, A.Z, Creagh, T.A
Format: Article
Language:English
Subjects:
Adult
Catheter morbidity
Clinical Competence
Curriculum
Follow-Up Studies
Humans
Iatrogenic
Iatrogenic Disease - epidemiology
Iatrogenic Disease - prevention & control
Intern
Internship and Residency - methods
Ireland - epidemiology
Male
Morbidity - trends
Questionnaire
Referral and Consultation
Retrospective Studies
Surgery
Time Factors
Training programme
Urethral catheterisation
Urinary Catheterization - methods
Urology - education
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Summary:Abstract Objective To assess the impact of a structured training programme in urethral catheterisation (UC) targeted at newly qualified junior doctors on rates of iatrogenic catheter morbidity within a tertiary care referral centre. Subjects and methods Male UC-related morbidities were retrospectively identified from our computerised inpatient urology consultation system over a 1-year period from July 2010 to June 2011. Relevant medical records were also reviewed. Results were compared with an initial study performed between July 2006 and June 2007, prior the introduction of a structured training programme in our institution. An anonymous questionnaire was used for the subjective assessment of interns about confidence in catheterising post introduction of the programme. Results Of 725 urological consultations, 29 (4%) were related to complications arising from male UC during the 1 year period. This reflected a statistically significant decrease when compared to our 2007 figures, 51/864 (6%) ( p  
ISSN:1479-666X
2405-5840
DOI:10.1016/j.surge.2014.02.001