识别远程医疗中的失败模式:教学需求评估
Helen Monkman1, Craig Kuziemsky2, Juell Homco3
1School of Health Information Science, University of Victoria, Canada.
Studies in health technology and informatics
|June 22, 2023
概括
临床医生需要培训来管理远程医疗技术故障和其他问题. 医学学生使用失败分析来识别常见问题,并制定预防策略,以改善远程医疗课程.
科学领域:
- 医学教育 医学教育
- 医疗信息学 医疗信息学
- 远程医疗远程医疗
背景情况:
- 技术故障在远程医疗中很常见,影响了有效的临床实践.
- 除了技术问题之外,各种因素影响了远程医疗的成功使用.
- 临床医生需要技能来管理远程医疗在护理点的失败.
研究的目的:
- 通过医疗保健失败模式和影响分析 (HFMEA) 来识别远程医疗中常见的失败模式.
- 开发和教导针对已识别的远程医疗失败的预防策略.
- 为创建新的医疗课程提供信息,专注于远程医疗的最佳实践.
主要方法:
- 招募了16名医学学生来观察远程医疗预约.
- 学生们进行了医疗保健失败模式和影响分析 (HFMEA),以预测失败,原因和后果.
- 根据学生的观察,确定了失败类别.
主要成果:
- 确定了四大类远程医疗故障:技术问题,患者安全,沟通和社会/结构决定因素.
- 提出了一个规范化的工作流程,并提出了管理和预防策略.
- 由学生领导的HFMEA提供了对实际远程医疗挑战的见解.
结论:
- 有效的远程医疗需要解决技术,安全,通信和社会结构因素.
- 培训医学学生的故障分析提高了他们对远程医疗实践的准备.
- 这些发现支持开发包括故障模式分析在内的综合远程医疗课程.
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