实施一个专业间的模拟程序,为儿科患者的安全
David D'Arienzo1,2, Mylene Dandavino1,3, Andrée-Anne Matte1
1Department of Pediatrics, Montreal Children's Hospital, McGill University, Montreal, Canada.
这项研究实施了一个专业间的现场模拟程序,针对单位特定的医疗错误. 该计划显示了积极的参与者感知和减少错误的趋势,增强患者安全文化.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 医疗保健模拟器 医疗保健模拟器
背景情况:
- 基于模拟的医学教育对于改善患者安全文化和结果至关重要.
- 可预防的临床错误往往是单元特定的,需要量身定制的干预措施.
- 本研究报告了专业间的现场模拟程序的设计,实施和评估.
研究的目的:
- 设计和实施一个专业间的现场模拟程序.
- 调整模拟内容与单元特定错误,以提高患者安全.
- 评估该计划对患者安全感知和错误率的影响.
主要方法:
- 一项基于调查的前性研究在儿科三级护理中心进行.
- 审查了事件报告,以确定频繁和严重的错误 (例如,静脉溶液,肠道养,药物转录,静脉透).
- 在8个月内进行了8次现场模拟,参与者包括住院人员,护士,药剂师和医生.
主要成果:
- 对329份事件报告的审查确定了四种主要的错误类型.
- 实现了86%的参与率和65%的调查响应率.
- 86%的参与者对该计划提高患者安全的潜力表示积极看法,并倾向于减少有针对性的医疗错误.
结论:
- 可以有效地实施一个根据单位特定需求量身定制的现场模拟程序.
- 这种方法为医疗保健中心提供了有价值的见解,旨在提高患者安全.
- 解决实施挑战是成功开发模拟程序的关键.
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