Automated Case Cancellation Review System Improves Systems-Based Practice
Automated Case Cancellation Review System Improves Systems-Based Practice
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DOI：
10.1007/s10916-015-0330-3
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发表时间：
2015-11-01
影响因子：
5.3
通讯作者：
Wanderer, Jonathan P.
中科院分区：
文献类型：
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作者：
Starnes, Joseph R.;McEvoy, Matthew D.;Wanderer, Jonathan P.
背景医学研究生教育认证委员会(ACGME)以系统为基础的实践和以实践为基础的学习和改进的核心能力很难评估，因为它们往往无法直接衡量或观察到。审查手术当天的取消可以为住院医师提供这些领域的学习机会。目的在作者所在机构的术前评估诊所(PEC)轮换实施自动化系统，以方便麻醉学住院医师审查取消的病例。方法对2014年PEC轮换前6个月(n=22)和实施后(n=13)的住院医师进行问卷调查，了解其取消病例评审的经验，以确定干预对其培训的影响。结果每名住院医师评审的病例数发生了显著变化(P
Background Accreditation Council for Graduate Medical Education (ACGME) core competencies of systems-based practice and practice-based learning and improvement are difficult to assess, as they are often not directly measurable or observable. Reviewing day-of-surgery cancellations could provide resident learning opportunities in these areas.Objective An automated system to facilitate anesthesiology resident review of cancelled cases was implemented on the Preoperative Evaluation Clinic (PEC) rotation at the authors' institution. This study aims to evaluate its impact on resident education.Methods Residents on the PEC rotation during the 6 months preceding (n=22) and following (n=13) implementation in 2014 were surveyed about their experience performing cancelled case reviews in order to ascertain the effect of the intervention on their training.Results Significant changes were reported in the number of cases reviewed by each resident (p