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医疗错误:使用讲故事和反思影响居民错误响应因素
Sherry Adkins1, Peter Reynolds2, Kelly Rabah3
1Associate Program Director, Department of Family Medicine, Wright State University Boonshoft School of Medicine, Family Health Services of Darke County, Inc.
MedEdPORTAL : the journal of teaching and learning resources
|October 11, 2024
概括
一个新的课程显著改善了家庭医学医生如何处理医疗错误. 居民报告说,在培训结束后,他们的信心和愿意分享错误故事增加了.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 医疗保健的质量 医疗保健的质量
背景情况:
- 医疗错误很普遍,影响患者和医生的看法.
- 医生,特别是住院医生,往往缺乏在医疗错误管理方面的正式培训.
- 有效的错误管理和恢复策略对于医疗保健专业人员至关重要.
研究的目的:
- 开发和评估一套家庭医生住院的课程,重点是医疗错误管理和应对策略.
- 培养一种开放沟通和支持的文化,以在医疗住院计划中对医疗错误提供支持.
- 提高居民在处理医疗错误时的自我效能和自我意识.
主要方法:
- 为家庭医学专科医生实施了为期3个会议,1小时的教学课程.
- 教学方法包括导师讲故事,指导反思,小组讨论,角色扮演和自我反思.
- 模块前后的调查评估了居民对医疗错误的知识,态度和自我效能.
主要成果:
- 课程后,93%的居民报告知道如何应对医疗错误,比课程前显著增加.
- 住户分享个人医疗错误故事的比例在干预后增加.
- 住院居民在医疗错误披露和风险评估方面表现出更高的自我效能和自我意识.
结论:
- 家庭医学医生对医学错误管理的同行和导师领导的教育很容易接受.
- 一个简短的,有针对性的课程可以积极影响围绕医疗错误披露和支持的文化.
- 未来的研究应该探索这种干预措施对患者结果的影响.
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