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为什么模拟很重要:对模拟医疗保健过程中发生的医疗错误的系统审查
Leshya Bokka1, Francesco Ciuffo, Timothy C Clapper
1From the Weill Cornell Medicine, New York, New York.
Journal of patient safety
|December 21, 2023
概括
医疗模拟教育正在增长,但培训期间的医疗错误报告不足. 本综述对报告的错误进行了分类,发现佣金,系统和遗漏错误是最常见的,强调了在模拟中更好地追踪错误的必要性.
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:
- 基于模拟的医疗保健教育已经显著增长.
- 它为实践患者护理和识别医疗错误提供了一个安全的环境.
- 然而,仿真中的医疗错误在文献中并不广泛报道.
研究的目的:
- 识别和分类医疗模拟报告的医疗错误的类型和频率.
- 在基于模拟的培训中分析不同错误类别的分布.
主要方法:
- 从2000年到2020年,使用主要数据库 (PubMed/MEDLINE,CINAHL,SCOPUS) 进行了系统审查.
- 搜索术语包括"医疗模拟"和"医疗错误".
- 包括的研究报告了模拟医疗保健期间医疗错误的初级研究,将其分类为委托,遗漏,系统相关或通信相关.
主要成果:
- 在1105篇选的文章中,只有20篇符合纳入标准.
- 最常报告的错误是委托错误 (17/20),其次是与系统相关的错误 (13/20) 和遗漏错误 (12/20).
- 与通信相关的错误是最少报告的 (7/20),大多数文章报告了多种错误类型.
结论:
- 医疗模拟人员和患者安全倡导者必须识别与系统相关的错误和培训缺口.
- 这些差距可能导致不采取行动,不适当的行动和不良沟通.
- 建议在模拟中心开发一个错误注册表,以汇总和分析洞察力,以提高患者安全.
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