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医疗错误:使用讲故事和反思影响家庭医学的错误响应因素 住院医生
Sherry Adkins1, Rahaf Alta'any1, Kewaljit Brar1
1Rural Family Medicine Residency, Wright State University, Greenville, OH, USA.
Journal of medical education and curricular development
|August 16, 2024
概括
住院医生在短时间的培训课程后,提高了对管理医疗错误的信心. 这种干预促进了错误故事的分享和应对策略,提高了自我效能和意识.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 医疗错误很普遍,影响了患者和公众的信任,但对错误管理的居民培训不足.
- 关于实践医生的错误反应和改善它的教育干预措施的研究有限.
- 这项研究解决了对居民有效医疗错误教育的需求.
研究的目的:
- 评估旨在提高居民信心和管理医疗错误的技能的课程.
- 促进教师医疗错误故事的分享,并促进居民之间的建设性应对策略.
- 评估针对性干预对居民对医疗错误的自我有效性和自我意识的影响.
主要方法:
- 一个为期6个月的课程,包括三个为期1小时的教学课程,为家庭医学实习生实施.
- 干预方法包括导师讲故事,小组讨论,角色扮演和自我反思.
- 确定了影响有效医生错误管理和恢复的因素,以开发干预措施.
主要成果:
- 干预后,93%的居民报告知道如何处理医疗错误,高于干预前的46%.
- 错误故事分享率增加,居民报告说,对错误的自我效能和自我意识有所提高.
- 虽然观察到积极的趋势,但自我效能和自我意识的变化没有达到统计学意义.
结论:
- 家庭医学医生愿意从同行和导师那里学习关于错误管理的知识.
- 一个简短的教育干预可以积极影响围绕医疗错误披露和支持的文化.
- 未来的研究应该调查针对医疗错误干预的面向患者的结果.
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