医生在自助服务设施中进行实验室测试. 居民的感知和表现
L H Hilborne1, N S Wenger, R K Oye
1Department of Pathology, University of California, Los Angeles School of Medicine 90024-1732.
JAMA
|July 18, 1990
概括
许多医生缺乏必要的实验室测试的正式培训,导致不经常使用和熟练度差距. 加强培训和评估对于确保准确的临床实验室实践至关重要.
科学领域:
- 医学教育 医学教育
- 临床实验室科学 临床实验室科学
- 主要护理医学 医疗保健
背景情况:
- 主要护理医生经常在经过最少的正式培训的情况下进行简单的实验室测试.
- 自助式病房实验室可用,但房屋官员未充分利用.
研究的目的:
- 评估室内官员进行实验室测试的频率.
- 评估房屋官员在执行常见测试中的实验室技能.
- 识别病房实验室有效使用的障碍.
主要方法:
- 对254名家庭官员进行的调查,调查了他们对病房实验室的态度.
- 在四个常见的实验室测试中对47名家庭官员进行实践考试.
- 分析响应数据以确定测试频率和技能熟练程度.
主要成果:
- 67%的家庭官员不经常使用病房实验室,因为他们担心病房的条件,时间,准确性和安全性.
- 24%的人表示在执行简单的实验室测试时存在不确定性.
- 熟练程度各不相同,在旋转血和血涂片识别方面准确度高,但在细胞计数和微观尿液分析方面准确度较低.
结论:
- 医生需要更多的正式培训,实践和评估,以达到在执行临床实验室测试的熟练程度.
- 解决实验室使用障碍对于提高医生绩效至关重要.
- 目前的培训可能不足以确保在初级保健机构提供足够的实验室技能.
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