医疗保健提供者的错误空间干预措施的有效性:系统性审查
Su Jin Jung1,2, Jiwon Kang2,3, Youngjin Lee4
1Department of Nursing, Semyung University, 65 Semyung-ro, Jecheon, Chungbuk, 27136, South Korea.
BMC nursing
|January 28, 2025
概括
错误空间 (RFE) 培训提高了护理学生识别和解决医疗错误的能力,提高了患者的安全. 本系统性审查强调了基于案例的模拟在建立基本临床能力方面的有效性.
科学领域:
- 医疗保健教育 医疗保健教育
- 患者安全研究 患者安全研究
- 护理实践 护理实践
背景情况:
- 患者安全事件对死亡率有很大影响,需要采取战略性医疗干预措施.
- 错误空间 (RFE) 教育提供了一个基于案例的学习平台,用于在受控环境中识别和解决医疗错误.
- 这项研究系统地审查了RFE培训计划,以了解其背景,机制和结果.
研究的目的:
- 确定错误空间培训计划的背景,机制和结果.
- 评估RFE干预措施对医疗保健专业人员和学生的特点和有效性.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 在OvidMEDLINE,Embase,Cochrane和CINAHL中使用与医疗保健提供者,护理学生,RFE教育,医疗错误和模拟相关的关键词进行搜索.
- 包括集中于错误识别和RFE培训的准实验性试验;不包括非英语/韩语,非原始,仅抽象和定性研究.
主要成果:
- 八项研究符合纳入标准,主要是准实验性,重点关注护士.
- 模拟是常见的,强调技能表现和批判性思维.
- 培训在准备时间 (50%),反 (37.5%),内容 (药物错误62.5%),交付 (线下87.5%),格式 (个人62.5%) 和持续时间 (4-35分钟) 中存在差异.
结论:
- RFE培训计划为提高医疗保健专业人员和学生能力提供了宝贵的见解.
- 在护理教育中,以案例为基础的实践学习对于增强知识和信心至关重要.
- 有效的RFE培训最终有助于改善临床实践中的患者安全.
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