通过模拟改善疼痛诊所的专业间合作:对专业间学习量表的纵向准备度评估
John Mekail1, Ysaac Zegeye2, Quinn Lanners3
1Anesthesiology, Division of Pain Medicine, Duke University Hospital, Durham, North Carolina, USA jmeka001@gmail.com.
BMJ open quality
|May 11, 2025
概括
基于模拟的培训在门诊疼痛诊所中维持了高度的专业间准备. 这项质量改进项目强调了结构化模拟的价值,以保持临床工作人员之间的团队合作和协作实践.
科学领域:
- 医学教育 医学教育
- 提高质量 提高质量
- 疼痛管理 疼痛管理
背景情况:
- 专业间合作 (IPC) 对于门诊疼痛诊所的安全患者护理至关重要.
- 疼痛药物中的IPC研究不足,对准备度的纵向数据有限.
- 准备跨专业学习量表 (RIPLS) 在此设置中以前没有使用纵向.
研究的目的:
- 评估和增强门诊疼痛诊所工作人员的跨专业学习准备.
- 评估干预后6个月的准备情况的变化.
- 探索员工对基于模拟的培训对协作的影响的看法.
主要方法:
- 一个在学术门诊疼痛诊所进行的质量改进项目 (2021年10月-2022年4月).
- 在基线和干预后6个月对15名临床工作人员进行RIPLS调查.
- 干预包括教学课程和对干预性疼痛手术中的急性并发症的模拟.
主要成果:
- 医生和非医生组都报告了高基线RIPLS得分.
- 在6个月内,没有观察到RIPLS得分的统计学意义上的变化.
- 定性反表明了对协作的积极态度,以及模拟对团队角色,沟通和危机管理的价值.
结论:
- 基于模拟的培训可以有效地保持门诊疼痛诊所高水平的专业间准备.
- 这种方法支持持续的协作行为,这对于患者安全和有效的团队合作至关重要.
- 未来的研究应该探索在较低准备度的诊所和更长的随访期的干预措施.
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