位置不正确的鼻胃食管:医学学生是否可以安全地识别它们?
Cindy Chew1,2, Patrick J O'Dwyer1, David Young3
1Undergraduate School of Medicine, University of Glasgow, Glasgow, G12 8QQ, United Kingdom.
The British journal of radiology
|February 9, 2024
概括
医学学生努力准确地识别鼻胃管 (NGT) 在胸部X射线 (CXR) 上的位置,在线工具显著提高了他们的表现. 建议正式报告NGT安置,以确保患者的安全.
科学领域:
- 医学教育 医学教育
- 放射学 放射学是一门学科.
- 临床技能评估 临床技能评估
背景情况:
- 鼻胃管 (NGT) 在胸部X射线 (CXR) 上的放置验证是医学学生的关键技能.
- 从2025年开始,准确的NGT识别将成为英国医学学生的强制性评估.
- 当前学生在确定CXR上的NGT位置方面的表现需要评估.
研究的目的:
- 评估医学学生在胸部X射线 (CXR) 上正确识别鼻胃管 (NGT) 位置的能力.
- 评估在线学习工具在提高NGT安置识别技能方面的有效性.
- 为毕业的医学学生和初级医生建立基线能力衡量标准.
主要方法:
- 医学四年级 (MB4) 和五年级 (MB5) 学生每人查看20个CXR (14个正确的,6个位置错误的NGT).
- MB5的学生获得了在线交互式学习工具;MB4的学生作为对照.
- 一周后,两组都在NGT安置识别方面进行了重新测试.
主要成果:
- 最初,只有4.8%的MB5和3.1%的MB4学生正确地识别了所有NGT.
- 超过47%的学生错误地认为错位的NGT是安全的.
- 干预后,58%的学生正确得分所有CXR,显著改善 (P < .001).
- 学生们在胃尖端验证方面遇到了困难,但很少错过肺部的NGT (1,108例中的1例).
结论:
- 医学学生确认NGT在胃中的位置的能力仍然不够理想.
- 在线体验式学习资源显著提高了NGT识别技能.
- 在使用前正式报告食NGT安置对于患者的安全至关重要.
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