基于现场模拟的团队训练减少了支气管镜检查期间负面事件的发生率. 一个前性的教育干预队列研究
Andreas Fosli Clausen1, Søren Sperling2, Rune Dall Jensen3
1Department of Emergency Medicine, Aarhus University Hospital, Aarhus, Denmark.
Respiratory research
|April 11, 2025
概括
基于模拟的支气管镜组训练显著减少了不良事件,包括氧气不和. 这种培训改善了程序行为和患者的结果,使其成为未来课程的重要组成部分.
科学领域:
- 医学教育 医学教育
- 呼吸系统医学 呼吸系统医学
- 患者安全 患者安全
背景情况:
- 支气管镜术并发症虽然很少见,但可能是严重的,需要及时治疗.
- 现实世界的数据驱动模拟培训旨在减轻这些风险.
- 这项研究调查了基于案例的模拟对并发症率的影响.
研究的目的:
- 评估基于模拟的团队训练在减少支气管镜术并发症方面的有效性.
- 评估程序行为和患者干预后结果的变化.
- 确定将这种培训整合到标准课程中的适宜性.
主要方法:
- 开发了一个团队模拟培训案例,使用与呼吸系统工作人员的半结构面试.
- 基克帕特里克框架被用来通过不良事件率来评估程序行为中的变化.
- 用问卷评估了参与者的反应,压力水平和患者的观点.
主要成果:
- 干预后不良事件发生率从62%降至41% (p=0.019).
- 氧气不和事件显著减少,从34%降至11% (p=0.002).
- 虽然训练是相关的,但感知到的压力水平没有改变;然而,患者报告说干预后更清醒 (p=0.02).
结论:
- 基于现场模拟的团队训练有效地改变了支气管镜检查过程中的程序行为.
- 这种培训显著减少了不良事件的发生,提高了患者的安全.
- 建议将其纳入支气管镜培训课程,以改善危机管理和结果.
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