一个多站点同行领导的基于讲故事的研讨会的影响,以教导住院医生在医疗错误后治愈
Aniqa Azim1,2, Nilan Schnure1, Matt DiVeronica3
1Oregon Health & Science University, Portland, OR, USA.
Journal of general internal medicine
|July 8, 2025
概括
一个单一的研讨会提高了居民管理医疗错误的技能. 这种由同行领导的讲故事方法增加了对错误相关心理影响的舒适度和理解,并观察到持久的行为变化.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 患者安全 患者安全
背景情况:
- 医疗错误经常会对医生,特别是住院医生造成不良心理影响.
- 住户经常与医疗错误的情感影响作斗争.
研究的目的:
- 评估单个研讨会对住户舒适度,技能和医疗错误后行为变化的影响.
- 评估以同行为主导,以讲故事为基础的干预措施的有效性.
主要方法:
- 一个建设主义的,同行领导的研讨会与小组反思被开发出来.
- 使用柯克帕特里克框架的调查在研讨会前和之后进行,在一个地点进行1年的随访.
主要成果:
- 研讨会后,自我报告的识别 (75%) 和克服 (76%) 医疗错误效应的技能显著增加.
- 一年后的跟踪显示,71%的居民感到准备好解决错误对他人的情感影响,54%的人报告了行为变化.
- 内容分析显示,对错误的规范化和赋权讨论是变革的关键驱动力.
结论:
- 一个单一的,同行领导的讲故事研讨会有效地提高了居民对医疗错误的心理影响的理解和舒适度.
- 干预促进了应对机制和愈合,对居民的行为和准备表现出持久的积极影响.
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