居民对他们在管理医疗保健错误方面的培训的看法:一项探索性定性研究
Bente V Malling1, Mads Skipper2, Signe S Matthiesen1
1Department of Clinical Medicine, Aarhus University, Denmark.
International journal of medical education
|October 2, 2025
概括
住院人员发现他们的医疗错误管理培训不足,特别是在披露和情绪支持方面. 他们需要更多的实践培训,整合到临床实践中,以及更开放的错误文化.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 医疗保健的质量 医疗保健的质量
背景情况:
- 有效的错误管理对于患者安全和医疗保健质量至关重要.
- 目前对医务人员在处理错误方面进行的培训尚未得到充分研究.
- 了解居民的观点是改善错误管理教育的关键.
研究的目的:
- 探索居民对其在管理医疗错误方面的培训的看法和经验.
- 确定当前缺少错误管理培训的特定领域.
主要方法:
- 定性探索性设计. 定性探索性设计.
- 七个虚拟焦点小组与22名丹麦居民在11个专业进行了讨论.
- 对转录的数据进行反思性主题分析.
主要成果:
- 居民主要学习法律方面和报告系统,而不是实际的错误披露或情绪管理.
- 培训通常是零星的,受部门文化和主管的影响.
- 突出了对错误披露,情绪反应和受害者支持方面的实践培训的重大需求.
结论:
- 对医疗错误管理的住院人员培训被认为是不够的.
- 需要修改课程,培养对医疗错误的更加开放的文化.
- 将错误管理培训整合到临床环境和培训监督员中是必不可少的.
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