药物错误作为居民能力标记的标记
Oswaldo E Subillaga1, Kenneth Lynch1, Ashlie Haas-Rodriguez1
1Department of Surgery, The Warren Alpert Medical School of Brown University, Brown University, Providence, USA.
Cureus
|September 27, 2024
概括
一般外科医生的药物错误与医学研究生教育认证委员会 (ACGME) 的里程碑分数没有一致的相关性. 这项研究表明,药物错误可能反映了目前评估中没有捕捉到的性能方面.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 进行外科手术培训.
背景情况:
- 评估住院医生的表现对于外科培训至关重要.
- 医学研究生教育认证委员会 (ACGME) 的里程碑指导能力评估.
- 药物错误可能表明居民表现的潜在缺陷.
研究的目的:
- 确定药物错误率是否可以作为一般外科住院医生能力的选工具.
- 调查药物订购错误与ACGME里程碑分数之间的相关性.
主要方法:
- 在四年内进行的回顾性队列研究.
- 对一般外科住院医生的药物订购错误和ACGME核心能力分数的分析.
- 在研究生一年 (PGY) 的各个级别中比较错误率.
主要成果:
- 总共审查了1,164,663个药品订单,发现了1,214个错误 (错误率为0.1%).
- 随着PGY水平的增加 (p=0.005),观察到药物错误率的统计学显著下降.
- 在药物错误率和个人ACGME里程碑能力得分之间没有发现一致的相关性.
结论:
- 药物错误率并不总是反映ACGME里程碑测量一般外科住院医生的表现.
- 药物错误可能会捕捉到目前尚未评估的居民表现的独特方面.
- 需要进一步的研究来探索药物错误作为外科住院计划中的绩效指标的实用性.
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