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在手术室的危机管理:对模拟培训进行系统审查,以开发非技术技能
Inas D Redjem1, Arnaud Huaulmé2, Pierre Jannin2
1Univ Rennes, LP3C (Laboratoire de Psychologie: Cognition, Comportement, Communication), F-35000 Rennes, France; Univ Rennes, INSERM, LTSI (Laboratoire du Traitement du Signal et de l'Image) - UMR 1099, F-35000 Rennes, France.
Nurse education today
|January 30, 2025
概括
使用模拟的手术室危机管理培训显示了提高患者安全的前景. 通过包括护士和评估行为变化来加强培训,可以提高效率.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 基于模拟的培训
背景情况:
- 手术室危机,通常是由人为因素驱动的,对患者安全构成重大风险.
- 基于模拟的培训 (SBT) 是一种有前途的方法,可以提高管理这些关键事件的非技术技能.
研究的目的:
- 在手术室危机管理培训中系统审查模拟技术,目标专业人员,非技术技能,危机场景和评估指标.
主要方法:
- 2004年1月至2024年3月期间发表的同行评审文章的系统审查.
- 在MEDLINE,APA PsycInfo和Web of Science数据库中进行了搜索.
- 遵守系统审查和元分析 (PRISMA) 准则的首选报告项目.
主要成果:
- 包括29篇文章,主要是针对医务人员的高准确度模拟.
- 培训重点是沟通,团队合作,情境意识,问题解决和决策,经常使用患者病情恶化的场景.
- 评估主要达到Kirkpatrick的3级,测量反应和学习,对行为或组织影响的评估有限.
结论:
- 目前的手术室危机管理培训是有效的,但可以改进.
- 建议包括与护士和护理人员进行专业间培训,强调团队场景,并评估行为变化.
- 加强培训可以改善技能转移到实践中,最终加强医疗保健机构的患者安全.
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