干预放射学同行学习平台和不良事件报告 (IR-PEER):在干预放射学中实施基于团队的新型同行学习系统的初步经验
John C Panagides1, Kayesha Hancel2, Sanjeeva Kalva2
1Harvard Medical School, Boston, Massachusetts.
Journal of the American College of Radiology : JACR
|September 2, 2023
概括
在干预放射学 (IR) 中实施同行学习平台改善了并发症报告. IR-PEER系统促进了多学科团队的沟通,并抓住了增强患者安全的宝贵学习机会.
科学领域:
- 医疗成像医学成像
- 放射学 放射学是一门学科.
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 诊断放射学从同行学习中受益,但其在干预放射学 (IR) 中的实施却未得到充分探索.
- 包括技术人员,护士和医生在内的各种IR团队可以从基于团队的同行学习系统中获益.
- 存档具有教育价值的事件对于IR的质量和安全至关重要.
研究的目的:
- 实施和评估基于团队的同行学习平台,用于干预放射学中的并发症和学习机会报告.
- 评估IR-PEER平台对各种临床角色中复发报告的感知的影响.
主要方法:
- 一个符合HIPAA的,安全的IR并发症和学习机会报告平台 (IR-PEER) 在多学科利益相关者的投入下被开发出来.
- 案件提交被监控了24周,每月向领导层报告.
- 干预前后的调查评估了平台对报告感知的影响.
主要成果:
- 在24周 (3.8周/周) 的时间里,IR-PEER平台收到了92份提交,其中64.1%涉及并发症/不良事件,35.9%确定学习机会.
- 护士们发现IR-PEER的并发症报告过程更容易 (P=.01).
- 所有临床角色都报告了整体并发症报告流程的改善.
结论:
- 像IR-PEER这样的同行学习框架为多学科团队提供了一个公平的平台.
- 该系统有效地捕获和存档学习机会,支持IR的质量和安全改进.
- IR-PEER增强了各种IR团队成员之间的沟通和协作.
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