在模拟的临床场景中传播医疗错误. 有小儿科住院小组工作经验
María Pico, Ximena Prado, Gonzalo Germán Guiñazú
1Simulación Médica Roemmers, Buenos Aires, Argentina.
概括
儿科住院人员认识到医疗错误 (ME),但很难有效地将其传达给家庭. 他们对错误管理的自我认知在汇报后保持不变,这表明需要改进沟通培训.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 医疗保健模拟器 医疗保健模拟器
背景情况:
- 对医疗错误 (ME) 的有效沟通对于患者的安全和信任至关重要.
- 儿科住院医生需要在管理和披露不良事件方面进行强有力的培训.
- 高保真模拟为在受控环境中评估临床技能提供了一个有价值的平台.
研究的目的:
- 评估儿科住院医生在模拟环境中识别和沟通医疗错误 (ME) 的能力.
- 为了分析居民的反应和通信尝试,在模拟的 ME.
- 评估住户对ME管理的自我认知,在汇报会议之前和之后.
主要方法:
- 使用高保真模拟场景进行了一项准实验性的无控制研究.
- 儿科住院医生 (一年级和三年级) 参加了一个涉及模拟ME和患者恶化的病例.
- 对患者的父亲披露ME的沟通表现进行了评估,同时进行了汇报前和后的自我感知调查.
主要成果:
- 90.9%的居民组正确识别了医疗错误 (ME),但只有27.3%的人明确报告了错误.
- 没有一个小组告诉患者的父亲关于传达有关儿子健康的重要消息.
- 居民对ME管理的自我认知分数平均为5.00在报告前和5.05在报告后 (p=0.88).
结论:
- 虽然儿科住院医生在识别医疗错误 (ME) 中表现出很高的准确性,但他们对这些错误的沟通显著缺乏.
- 该研究强调了居民在ME披露方面缺乏沟通技巧.
- 居民对错误管理的自我评估是平的,没有受到汇报过程的影响,这表明需要加强沟通培训策略.
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