如何提高:一个以患者和同行为中心的模拟课程,用于医疗错误披露
Lauren Falvo1, Anna Bona1, Melanie Heniff2
1Assistant Professor, Department of Emergency Medicine, Indiana University School of Medicine.
概括
一个新的医学课程显著提高了医学学生的知识,信心,和同行披露技能关于医疗错误. 该HEEAL计划增强了对未来医疗保健专业人员的错误通信培训.
科学领域:
- 医疗教育 医学教育
- 患者安全 患者安全
- 医疗保健通讯 医疗保健通讯
背景情况:
- 医疗错误对患者和提供者产生重大情感和心理影响.
- 缺乏标准化的医疗课程,用于错误披露,造成了严重的教育差距.
- 希尔 (诚实/同情/教育/道歉意识/减少未来错误的可能性) 课程是解决这一缺陷的新方法.
研究的目的:
- 评估HEEAL课程在提高医学学生医疗错误披露技能的有效性.
- 评估医疗知识,信心和对披露医疗错误的态度的变化.
- 为医学学生过渡到住院提供标准化的培训模块.
主要方法:
- 一个为期6小时的两部分研讨会,将教学课程和标准化患者 (SP) 模拟与快速循环故意练习 (RCDP) 结合起来.
- 该课程涵盖了提供者-患者和提供者-提供者 (同行) 错误披露场景.
- 通过总结模拟评估学习者的技能,通过前/后多选题评估知识,并使用修订后的障碍错误披露评估工具评估信心/态度.
主要成果:
- 14名医学学生参与了试点研究.
- 在医学知识 (p = .01),同行披露技能 (p = .001) 和对错误披露的信心 (p < .001) 中观察到有统计学意义的改善.
- 虽然患者披露能力有所改善,但没有达到统计学意义 (p = .05).
结论:
- 在HEEAL课程有效地解决了医疗错误披露结构化培训的需要.
- 参与者在处理医疗错误方面表现出更强的知识,技能和信心.
- 该课程推给医学学生,以更好地准备他们进行住院培训和实践.
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