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通过基于系统的事件分析开发外科和麻醉住院患者安全能力. 课程开发指南和评估长期居民的看法
James P Bagian1, Douglas E Paull2,3, Joseph M DeRosier1
1Industrial Operations Engineering (IOE), University of Michigan, Ann Arbor, MI, USA.
Surgery open science
|September 28, 2023
概括
居民参与患者安全事件调查增加了参与度. 由教师领导的根源原因分析和行动 (RCA2) 培训课程改善了居民的培训.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 居民参与患者安全活动至关重要.
- 在患者安全事件分析中居民参与方面存在差距.
- 之前的研究将参与调查与增加参与度联系起来.
研究的目的:
- 开发和实施一个可持续的,由教师领导的课程,为居民参与患者安全事件调查.
- 评估居民对这项培训的看法,至少在培训完成后一年.
主要方法:
- 一个正式的根源原因分析和行动 (RCA2) 培训课程被实施为165居民跨越三个专业 (2013-2019).
- 2019年11月进行了一项调查,以评估居民对培训,工具和技术的看法.
- 调查响应率为36% (60/165).调查的回答率为36% (60/165).
主要成果:
- 63%的受访者认为RCA2培训应该是所有居民的标准.
- 前居民对RCA2培训工具和技能进行了好评 (中位数为3.6).
- 48%的受访者认为培训提高了他们识别和解决问题的技能.
结论:
- 教师领导的课程和发展计划有效地解决了居民患者安全教育的差距.
- RCA2培训提高了住院人员识别和解决患者安全问题的能力.
- 该计划展示了一种可持续的干预措施,以改善患者安全方面的研究生医学教育.
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