加强内部医学住院连续性诊所的团队发展
Majken T Wingo1, Andrew J Halvorsen2, Emily L Leasure1
1Division of Community Internal Medicine, Geriatrics, and Palliative Care, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Medical education online
|November 20, 2024
概括
实施跨专业的团队合作课程改善了内科医生之间的团队发展. 这项培训增强了团队合作和安全态度,在连续性诊所环境中证明了可行性.
科学领域:
- 医学教育 医学教育
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 专业间的团队合作对于安全,高价值的患者护理至关重要,这是医学研究生教育认证委员会 (ACGME) 认可的.
- 评估有针对性的团队合作培训对居民团队的影响对于改善医疗保健提供至关重要.
- 连续性诊所是开发和评估专业间协作技能的重要设置.
研究的目的:
- 评估跨专业团队工作课程对团队发展和患者安全感知的影响.
- 确定在内部医学 (IM) 住院连续性诊所实施基于TeamSTEPPS的课程的可行性.
- 为了比较接受团队合作培训的干预组和接受标准教育的对照组之间的结果.
主要方法:
- 在一个IM居民连续性诊所中,与居民,教师和跨专业团队成员一起使用了一种准实验性设计.
- 干预组接受了战略定时的TeamSTEPPS培训,而对照组接受了通常的临床教育.
- 团队发展和安全气候使用团队发展措施 (TDM) 和安全态度调查问卷 (SAQ) 进行了干预前后的测量.
主要成果:
- 与对照组相比,干预组的团队发展显著改善 (p=0.007).
- 虽然一些个体患者安全态度项目有所改善,但整体安全态度问卷 (SAQ) 评分在组之间没有显示统计学上显著的改善 (p=0.36).
- 在区块诊所模型中,TeamSTEPPS课程的实施是可行的.
结论:
- 基于TeamSTEPPS的跨专业团队工作课程可以在IM居民连续性诊所中成功实施.
- 该课程有效地增强了团队发展,并证明了改善安全态度的潜力.
- 进一步评估临床和教育结果是有必要的,以充分理解课程的影响.
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