通过强制性质量改进 (QI) 教育在家庭医疗住院计划中提高患者安全
Shira Goldstein1, Jude K A des Bordes1, Samuel Neher2
1Department of Family and Community Medicine, The University of Texas McGovern Medical School, Houston, TX, USA.
BMJ open quality
|February 22, 2024
概括
一个新的质量改进 (QI) 课程有效地培训了家庭医学专业人员的患者安全. 该计划提高了居民识别和解决安全问题的技能,证明了与他们的医学教育相关.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 提高质量 提高质量
背景情况:
- 研究生医学教育认证委员会 (ACGME) 要求医疗学员具备患者安全和质量改善 (QI) 能力.
- 目前,对于这些基本技能缺乏标准化的课程.
- 制定可持续的QI课程是提高居民在患者安全方面的能力的实际策略.
研究的目的:
- 开发和评估一个以患者安全为重点的QI课程在一个既定的家庭医疗住院计划.
- 评估课程对居民在患者安全和QI方面的知识,信心和实践技能的影响.
- 衡量课程对居民整体培训的感知相关性.
主要方法:
- 设计和实施了一套全面的患者安全课程,包括教学,在线模块和实践QI项目.
- 该课程包括死亡率和发病率会议,以促进从不良事件中学习.
- 项目评估包括一项调查,评估知识,信心,技能认可和感知的相关性.
主要成果:
- 79%的受访居民报告说,他们对医疗错误的原因有了更好的理解.
- 42%的人可以明确表达安全问题,26%的人可以识别质量差距.
- 58%的受访者在与同龄人讨论安全问题时感到更加自信,74%的受访者认为该课程非常相关.
结论:
- 将QI课程整合到住院培训中是一种可行的方法,可以为家庭医学医生提供患者安全技能.
- 开发的课程在增强居民对患者安全的知识和信心方面取得了积极成果.
- 这种方法提供了一个现实的途径,以满足ACGME对患者安全和QA能力的要求.
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