提高跨专业团队的表现,以防止紧急护理中的药物错误:使用多模式虚拟模拟基于跨专业教育的准实验性研究
Ora-In Chu1, Phanupong Phutrakool2, Khrongwong Musikatavorn3,4
1Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
JMIR medical education
|March 13, 2026
概括
紧急情况室虚拟模拟基于专业间教育 (ER-VIPE) 改善了紧急部门 (ED) 团队之间的专业间合作 (IPC). 几乎错过的报道增加,这表明安全文化和情境意识的增强.
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:
- 专业间协作 (IPC) 对患者安全至关重要,特别是在像急诊室 (ED) 这样的高压环境中.
- 在ED患者中,团队合作和沟通不佳导致药物错误.
- 基于现有的团队战略和工具来提高绩效和患者安全 (TeamSTEPPS) 的培训在临床适应方面面临挑战.
研究的目的:
- 评估基于虚拟模拟的专业间教育 (ER-VIPE) 在改善IPC方面的有效性.
- 在模拟和现实世界ED设置中评估IPC性能变化.
- 检查ER-VIPE对ED中药物错误率的影响.
主要方法:
- 一项涉及15个跨专业团队 (医生,护士,药剂师) 的准实验性研究接受了ER-VIPE培训.
- 多式干预包括医疗电影,TeamSTEPPS在线课程和计算机模拟 (SIMBIE) 与联合报告.
- 使用修改的TeamSTEPPS和团队绩效观察工具 (mTPOT) 测量了专业间的协作;药物错误比较了干预前后的情况.
主要成果:
- 整体的mTPOT分数显著增加了模拟后的联合汇报 (P<.001),在所有职业中都有显著的改善.
- 干预后两个月,在现实ED环境中,mTPOT领域的显著改善持续 (P<.001).
- 虽然有害的药物错误并没有显著减少,但报告近乎错误的处方错误显著增加 (P=.01).
结论:
- 在ED医疗保健专业人员中,ER-VIPE有效地增强了IPC,在临床实践中产生了持久的影响.
- 多式联运方法,将基础知识与基于模拟的实践相结合,被证明是有效的.
- 越来越多的近乎失误报告表明,ER-VIPE促进了更好的情境意识和更强大的紧急护理安全文化.
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