Patient safety: Helping medical students understand error in healthcare
Patient safety: Helping medical students understand error in healthcare
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DOI：
10.1136/qshc.2006.021014
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发表时间：
2007-08-01
影响因子：
--
通讯作者：
Williams, David
中科院分区：
文献类型：
--
作者：
Patey, Rona;Flin, Rhona;Williams, David
目标：为了改变医疗机构的文化并提高患者安全，需要向新专业人员传授有关不良事件以及如何捕获和减少错误的知识。文献综述并未显示核心本科医学课程中有任何患者安全课程。因此，设计并试行了一个新模块。设计：设计了一个关于理解医疗保健错误的 5 小时循证模块，并使用自我报告问卷进行了初步评估。地点：英国医学院。参与者：110 名最后一年级学生。测量和主要结果：参与者完成了两份问卷：第一份问卷旨在衡量学生对与患者安全和医疗错误相关的知识、态度和行为的自我评价，在该模块之前和之后大约 1 年进行；模块完成后，进行了关于教学过程以及如何改进的第二次形成性调查问卷。结论：在参加模块之前，学生们表示他们对患者安全问题知之甚少。一年后，只有知识和个人对安全的控制能力有所提高。学生们对教学过程给予了高度评价，并认为该模块很有价值。需要进行纵向跟进，以提供有关该模块持久影响的更多信息。
Objective: To change the culture of healthcare organisations and improve patient safety, new professionals need to be taught about adverse events and how to trap and mitigate against errors. A literature review did not reveal any patient safety courses in the core undergraduate medical curriculum. Therefore a new module was designed and piloted.Design: A 5-h evidence-based module on understanding error in healthcare was designed with a preliminary evaluation using self-report questionnaires.Setting: A UK medical school.Participants: 110 final year students.Measurements and main results: Participants completed two questionnaires: the first questionnaire was designed to measure students' self-ratings of knowledge, attitudes and behaviour in relation to patient safety and medical error, and was administered before and approximately 1 year after the module; the second formative questionnaire on the teaching process and how it could be improved was administered after completion of the module.Conclusions: Before attending the module, the students reported they had little understanding of patient safety matters. One year later, only knowledge and the perceived personal control over safety had improved. The students rated the teaching process highly and found the module valuable. Longitudinal follow-up is required to provide more information on the lasting impact of the module.