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对局部麻醉剂系统毒性管理的多学科模拟培训课程的评估:在印度使用基克帕特里克模型进行准实验性研究
Pooja Bihani1, Naveen Paliwal2, Rishabh Jaju3
1Department of Anaesthesiology, All India Institute of Medical Sciences, Bhubaneswar, India.
Anesthesia and pain medicine
|May 11, 2025
概括
多学科模拟培训显著改善了在外科手术期间小组中局部麻醉系统毒性 (LAST) 的管理. 干预后六个月,技能保持不变,突出显示了这种教育方法的有效性.
科学领域:
- 医学教育 医学教育
- 麻醉学 麻醉学
- 患者安全 患者安全
背景情况:
- 局部麻醉系统性毒性 (LAST) 是区域麻醉期间罕见但危及生命的并发症.
- 基于模拟的培训是管理罕见的关键事件的有效方法.
- 这项研究评估了一个多学科的模拟干预LAST管理在真实的外科手术周围的团队.
研究的目的:
- 评估基于模拟的多学科教育干预对管理局部麻醉系统毒性 (LAST) 的影响.
- 评估在麻醉学员和护理人员中获得和保持管理LAST的团队技能.
主要方法:
- 一项涉及12名麻醉学员和8名护理人员的准实验性研究.
- 干预包括课程前材料,认知辅助工具和沉浸式模拟场景.
- 干预后在基线 (O1),一周 (O2) 和六个月 (O3) 评估的技能使用修改后的检查清单;通过问卷的知识;通过利克特尺度的反应.
主要成果:
- 参与者对LAST课程的评价很高.
- 与基线 (O1) 相比,干预后立即观察到技术和非技术技能 (O2) 的显著改善 (检查清单分数:39到83.5,P < 0.001).
- 有效的技能保留在六个月后被证明是有效的 (O3) 平均得分为72.
结论:
- 基于模拟的多学科教育显著提高了管理局部麻醉系统毒性 (LAST) 的知识和技能.
- 该干预表明,在现实世界,多专业团队环境中,在六个月后有效地保留技能.
- 基于模拟的培训是改善患者安全的宝贵工具,用于管理LAST等罕见但关键事件.
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