整合质量改进体验平台到医学学生教育
Amy S Stanley1, René M Kronlage2, Miranda J Reid2
1University of Florida College of Medicine, Gainesville, FL, USA. amystephensonrx@ufl.edu.
BMC medical education
|February 6, 2025
概括
医学学生通过学生经营的诊所的实践,同行教学平台增强了质量改进 (QI) 和患者安全 (PS) 技能. 这一举措提高了学生的能力和诊所效率,减少了患者等待时间.
科学领域:
- 医学教育 医学教育
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
背景情况:
- 越来越多的需求提高质量和患者安全 (QI/PS) 教育在医疗培训水平.
- 在佛罗里达大学医学院 (UFCOM) 实施同行教学,体验式QI/PS学习平台.
- 为学生在现实世界,学生经营的诊所环境中应用QI/PS概念而设计的平台.
研究的目的:
- 评估医学学生对质量改进 (QI) 方法的信心的看法.
- 评估学生在医疗保健背景下执行QI计划的感知能力.
- 测量体验式学习平台对学生知识和态度的影响.
主要方法:
- 一个由学生领导的QI/PS团队被整合到UF学生经营的诊所网络中.
- 利用计划-做-研究-行动 (PDSA) 周期与临床领导人合作实施QI/PS.
- 使用柯克帕特里克模型和项目后调查评估培训影响,包括BASiC-QI尺度.
主要成果:
- 在所有四个基克帕特里克级别 (反应,学习,行为和结果) 中都观察到积极的结果.
- 93%的参与者报告了积极的感知;参与者的BASiC-QI得分显著更高 (p < 0.001).
- 每个QI团队平均完成了4.25个PDSA周期,导致患者中位临床时间减少了10.1%.
结论:
- 在学生经营的诊所中,由学生领导的QI/PS平台有效地增强了对QI/PS的知识和态度.
- 该计划在改善临床运营指标和患者治疗结果方面取得了成功.
- 支持将这种体验式学习平台整合到医疗课程中,以培养实际技能.
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