实施创伤相关的挑战性互动报告工具,以改善我们的临床学习环境
Tara Bamat1, Annie Gula2, Erin H Sieke3
1Clinical Pediatrics (T Bamat), Perelman School of Medicine at the University of Pennsylvania, Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Academic pediatrics
|April 12, 2024
概括
一个新的工具有助于追踪医疗人员在工作场所的虐待,提供详细的数据来改善学习环境并减少倦怠. 该系统使学员能够有效地报告具有挑战性的互动.
科学领域:
- 医学教育 医学教育
- 职业健康 职业健康 职业健康
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 工作场所的虐待对居民的燃烧有很大影响.
- 现有的医学研究生教育认证委员会 (ACGME) 调查缺乏针对地方干预所需的细节性.
- 了解和解决虐待是缓解居民倦怠的关键.
研究的目的:
- 设计和实施一种新的工具来描述学员在工作场所遭受虐待的经历.
- 收集关于具有挑战性的相互作用的细粒度数据,以告知有针对性的干预措施.
- 提高临床学习环境的安全性.
主要方法:
- 开发了一个具有挑战性的交互报告工具 (CIRT),并通过REDCap.Cap向158名居民提供.
- 居民提交电子报告,每周由计划领导人审查,他们创建行动计划.
- 可提供匿名报告选项,并针对已识别的虐待"热点"实施系统级干预.
主要成果:
- 在2020年8月至2022年12月期间,共提交了275份报告.
- 报告涵盖了所有培训环境,并涉及各种各样的跨专业团队成员.
- 居民表现出对CIRT的认识,使用和满意度.
结论:
- 该CIRT作为一个有价值的工具,为当地干预提供信息,以提高临床学习环境的安全性.
- 在研究生医学教育 (GME) 计划中传播CIRT正在进行中.
- 目前正在测量实施的干预措施的影响.
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