学术半日改善居民对教育的看法,而不会损害患者安全
Matthew C Spence1, Ariel Sugarman1, Audrey Uong1
1Department of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore, New York, NY.
Academic pediatrics
|February 19, 2024
概括
为居民教育实施学术半日 (AHD) 有积极影响的实习生经验,而不会影响患者的安全或工作流程. 这种教育干预表明改善居民教育的希望.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 医疗保健工作流管理工作流程管理
背景情况:
- 居住计划需要结构化的教学课程和受保护的教育时间.
- 一个学术半日 (AHD) 实施,以解决传统中午会议的局限性.
- 这一举措旨在增强居民的教育体验.
研究的目的:
- 评估实施学术半日 (AHD) 对居民教育的影响.
- 评估AHD实施后患者安全指标的变化.
- 为了确定AHD对临床工作流程效率的影响.
主要方法:
- 采用了一个前性的,单个地点的教育干预研究设计.
- 实施前和后的调查 (包括ACGME调查) 收集了关于实习生和教师认知的数据.
- 通过比较安全事件报告,RRT激活和ED入院/出院时间,分析了患者的安全性和工作流程.
主要成果:
- AHD的实施与居民态度和经验的显著积极变化以及ACGME调查结果相关.
- 在AHD的安全事件报告率或快速响应小组激活中没有观察到显著差异.
- 中位数ED入院时间和出院时间在AHD和非AHD周日之间没有临床上有意义的差异.
结论:
- 学术半日 (AHD) 可以有效地实施,而不会对患者的安全或工作流产生负面影响.
- 居民对AHDs的偏好得到了强烈支持,与之前的发现保持一致.
- AHD提供了一个可行的框架,可以提高居民教育,同时保持高质量的患者护理.
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