Use of medical abbreviations and acronyms: knowledge among medical students and postgraduates

Use of medical abbreviations and acronyms: knowledge among medical students and postgraduates
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DOI:
10.1136/postgradmedj-2016-134086
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发表时间:
2016-12-01
影响因子:
5.1
通讯作者:
Hamid, Saeed
Hamid, Saeed
中科院分区:
医学4区
文献类型:
--
作者:
Awan, Safia;Abid, Shahab;Hamid, Saeed

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简介 医疗保健中缩写词和首字母缩略词的不当使用已成为国际患者安全问题。本研究的目的是评估三级医院内科住院医师对医学缩写和首字母缩略词的了解。方法要求内科住院医师(IMR)、亚专科住院医师(SR)和学生填写一份自填问卷,其中包括医学及其各个亚专业使用的标准缩写。居民获得的分数分为三类:正确答案>70%; 50-69% 正确答案;正确答案 < 50%。结果 共有 77 名 IMR、SR 和医学生参与。总体而言,53 人(68.8%)获得良好答复,16 人(20.8%)获得满意答复,8 人(10.4%)分数不满意。大多数 SR 取得了良好的反应 (19/22 (86%)),其次是 IMR (30/40 (75%)) 和学生 (4/15 (26.7%))。对“不使用”缩写列表中的知识进行的评估显示,89.6% 的人报告使用“Q.D”。 93% 的人使用“IU”而不是整个短语“国际单位”。 “不使用”前五名的缩写词是 ZnSO4、μ g、MgSO4、IU 和 SC,出现频率分别为 100%、96%、94.8%、93% 和 90%。 结论 本研究表明,医学实习生对常用医学缩写词的含义和使用存在知识差距。因此,我们建议对医学实习生进行适当的教育,以确保他们理解缩写词的含义并了解“不要使用”缩写词列表。
Introduction Inappropriate use of abbreviations and acronyms in healthcare has become an international patient safety issue. The aim of this study was to assess the knowledge of medical abbreviations and acronyms among residents of the department of medicine at a tertiary-care hospital.Methods Internal medicine residents (IMRs), subspecialty residents (SRs) and students were asked to complete a self-administered questionnaire which comprised standard abbreviations used in medicine and its various subspecialties. Scores obtained by the residents were classified into three categories: >70% correct answers; 50-69% correct answers; < 50% correct answers.Results A total of 77 IMRs, SRs and medical students participated. Overall, good responses were achieved by 53 (68.8%), 16 (20.8%) attained satisfactory responses, and eight (10.4%) had unsatisfactory scores. The majority of SRs achieved good responses (19/22 (86%)), followed by IMRs (30/40 (75%)) and students (4/15 (26.7%)). Evaluation of their knowledge taken from the list of 'do not use' abbreviations showed that 89.6% reported using 'Q.D.' instead of 'once a day', and 93% used 'IU' instead of the entire phrase 'international unit'. The top five 'not to use' abbreviations were ZnSO4, mu g, MgSO4, IU and SC, with the frequency 100%, 96%, 94.8%, 93% and 90%, respectively.Conclusions This study showed that there is a knowledge gap among trainees in medicine regarding the meaning and usage of common medical abbreviations. We therefore recommend proper education of trainees in medicine to ensure they understand the meaning of abbreviations and are aware of the list of 'do not use' abbreviations.