Rustin A. Meister

1 INTRODUCTION Ambiguous, dynamic patient situations characterize acute care paediatrics, a clinical setting associated with heightened patient safety risk.1 In critical care environments, children may experience treatment delays or harm without appropriate team adaptation.2, 3 While many patient safety initiatives rely on retrospective analysis to make proactive or preventative strategies, such reviews often lack granularity of real time events,4 suffer from hindsight bias,4, 5 and...

1 INTRODUCTION Ambiguous, dynamic patient situations characterize acute care paediatrics, a clinical setting associated with heightened patient safety risk.1 In critical care environments, children may experience treatment delays or harm without appropriate team adaptation.2, 3 While many patient safety initiatives rely on retrospective analysis to make proactive or preventative strategies, such reviews often lack granularity of real time events,4 suffer from hindsight bias,4, 5 and...

To view the full text, please login as a subscribed user or purchase a subscription. Click here to view the full text on ScienceDirect. Background According to guidelines from the ACGME, residents must demonstrate progressive autonomy over the course of training that affords them the ability to act in a supervisory role under faculty guidance in preparation for independent practice.