The Impact of a Clinical Asthma Pathway on Resident Education.

The Impact of a Clinical Asthma Pathway on Resident Education.
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DOI:
10.1155/2018/5472876
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发表时间:
2018
影响因子:
--
通讯作者:
Reznik M
Reznik M
中科院分区:
生物学3区
文献类型:
--
作者:
Talib HJ;Lax Y;Reznik M

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哮喘管理的临床路径降低了住院费用和住院时间,但很少有人知道路径对居民的教育影响。儿童医院的儿科住院医师(N = 114)被邀请完成一项22项计算机化的匿名调查,哮喘路径实施前6个月和实施后6个月。调查评估了路径使用和居民(1)路径知识,(2)管理哮喘的态度和经验,(3)感知的教育效益。平均路径知识得分从实施前的病例到实施后的病例增加[1.5 ± 1.0 vs 2.6 ± 1.3,p < 0.001],高度准备管理哮喘[61% vs 91%,p < 0.001]和电子订单集使用[28% vs 80%,p < 0.001]。住院医师认可的途径的前三大教育益处是循证医学的应用(57%),评估急性加重的能力(52%)和沟通呼吸状态的技能(47%)。实施后,居民的知识和准备管理哮喘改善,以及许多认可的教育效益。
Clinical pathways for asthma management decrease hospital cost and length of stay; however little is known about the educational impact of pathways on residents. Pediatric residents at a children's hospital (N = 114) were invited to complete a 22-item computerized, anonymous survey 6 months before and 6 months after asthma pathway implementation. The survey assessed pathway use and residents (1) pathway knowledge, (2) attitudes and experiences with managing asthma, and (3) perceived educational benefits. Mean pathway knowledge score increased from the case before to the case after implementation [1.5 ± 1.0 versus 2.6 ± 1.3, p < 0.001], as did high preparedness to manage asthma [61% versus 91%, p < 0.001] and electronic order set use [28% versus 80%, p < 0.001]. The top three educational benefits of the pathway endorsed by residents were application of evidence-based medicine (57%), ability to assess exacerbations (52%), and skill at communicating respiratory status (47%). After implementation, residents' knowledge and preparedness to manage asthma improved as well as many endorsed educational benefits.
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