Patient safety education for undergraduate medical students: a systematic review.
Patient safety education for undergraduate medical students: a systematic review.
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本科医学生患者安全教育：系统评价
DOI：
10.1186/1472-6920-11-33
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发表时间：
2011-06-14
影响因子：
3.6
通讯作者：
Li J
中科院分区：
文献类型：
--
作者：
Nie Y;Li L;Duan Y;Chen P;Barraclough BH;Zhang M;Li J
减少卫生保健造成的伤害是全球优先事项。医学生应该能够认识到不安全的条件，系统地报告错误和未遂事件，调查和改进这些系统，彻底了解人类的易犯性，并向患者披露错误。将如何做到这一点的知识纳入医学生课程是一项迫切的必要性。本文旨在系统地回顾关于医学本科生患者安全教育的文献，包括其内容，教学策略，教师的可用性和提供的资源，以确定如何在医学院校的课程中促进患者安全的证据。本文包括来自中国四川省一所医学院、一家大型医院和一家循证医学中心的教师的观点。计算机检索MEDLINE、ERIC、Academic Source Premier（ASP）、EMBASE和3个中文数据库（中国生物医学文献数据库、中国知网、万方数据库）1980年至2009年12月。为文献筛选制定了预先规定的纳入和排除标准。纳入研究的质量采用Darcy Reed和Gemma Flores-Mateo标准进行评估。两名评审员选择了研究，进行质量评估，并独立提取数据。不同的意见通过协商一致或在第三人的帮助下得到解决。这是一项描述性研究，共有7项研究符合选择标准。未纳入相关的中国研究。只有一项研究将患者安全教育纳入医学课程，其余研究将患者安全纳入临床轮换或医学见习。7项研究为研究前和研究后设计，其中只有1项对照研究。这些报告在内容、教学策略、教师知识和患者安全背景、其他资源和结果评价方面存在相当大的差异。通过医学生的知识、技能和态度来衡量，将患者安全纳入课程的结果在研究之间存在差异。只有少数相关出版的研究，将患者安全教育纳入医学院校的本科课程，无论是作为选修课，讲座计划，或被整合到现有的课程，即使在发达国家先进的卫生和教育系统。将患者安全教育纳入国际医学院的现有课程，带来了重大挑战。
To reduce harm caused by health care is a global priority. Medical students should be able to recognize unsafe conditions, systematically report errors and near misses, investigate and improve such systems with a thorough understanding of human fallibility, and disclose errors to patients. Incorporating the knowledge of how to do this into the medical student curriculum is an urgent necessity. This paper aims to systematically review the literature about patient safety education for undergraduate medical students in terms of its content, teaching strategies, faculty availability and resources provided so as to identify evidence on how to promote patient safety in the curriculum for medical schools. This paper includes a perspective from the faculty of a medical school, a major hospital and an Evidence Based Medicine Centre in Sichuan Province, China. We searched MEDLINE, ERIC, Academic Source Premier(ASP), EMBASE and three Chinese Databases (Chinese Biomedical Literature Database, CBM; China National Knowledge Infrastructure, CNKI; Wangfang Data) from 1980 to Dec. 2009. The pre-specified form of inclusion and exclusion criteria were developed for literature screening. The quality of included studies was assessed using Darcy Reed and Gemma Flores-Mateo criteria. Two reviewers selected the studies, undertook quality assessment, and data extraction independently. Differing opinions were resolved by consensus or with help from the third person. This was a descriptive study of a total of seven studies that met the selection criteria. There were no relevant Chinese studies to be included. Only one study included patient safety education in the medical curriculum and the remaining studies integrated patient safety into clinical rotations or medical clerkships. Seven studies were of a pre and post study design, of which there was only one controlled study. There was considerable variation in relation to contents, teaching strategies, faculty knowledge and background in patient safety, other resources and outcome evaluation in these reports. The outcomes from including patient safety in the curriculum as measured by medical students' knowledge, skills, and attitudes varied between the studies. There are only a few relevant published studies on the inclusion of patient safety education into the undergraduate curriculum in medical schools either as a selective course, a lecture program, or by being integrated into the existing curriculum even in developed countries with advanced health and education systems. The integration of patient safety education into the existing curriculum in medical schools internationally, provides significant challenges.
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影响因子：
7.4
作者：
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通讯作者：
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7.4
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