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Research on support intervention for malpractice prevention in basic nursing education

基础护理教育中医疗事故预防支持干预研究

基本信息

批准号：
14572223
负责人：
HYODO Yoshimi
金额：
$ 1.79万
依托单位：
Okayama University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2002
资助国家：
日本
起止时间：
2002 至 2004
项目状态：
已结题

项目摘要

1.2002 : Focusing on the near-accidental experience by trainees during practice, causes of such cases were analyzed through quantitative analysis type III. As a result, the cause are classified into the following four types. 1.Judgement mistake due to characteristics and situation of patients, 2.Mistake due to insufficient knowledge, 3.Lapses, and 4.Slips. The type 2 to 4 may be analogous to human error classification in cognitive psychology, but type 1 is unique in medical practice in particular by trainees.2.2003 : Based on the results in 2002, quantitative analysis type III was carried out on near-accidental experiences during practice of trainees. The data were collected from the university undergraduates and guraduates. The analyses revealed that the cases are divided into two types : single cause or multi causes. From the results after analyses cases and examples were assumed, and countermeasures were worked out.3.2004 : Freshman nurses were examined through interview. Near-accidental experience during the first 6 months as a freshman were interviewed. Quantitative analysis type III were given on cases associated with human errors during medical practice. It is realized that questionnaires designed for lapse was unsuitable to examine the relation between precognition of danger and error pattern of students as error pattern measures were inappropriate for student (trainee) behavior. New error pattern measures were designed for students.

1.2002：针对学员在实习过程中的近意外经历，通过类型III的定量分析，分析此类案例的原因。因此，将其原因分为以下四种类型。1.1 .患者特点和情况导致的判断失误；2 .因知识不足而犯的错误；失误，4.失误。类型2至4可能类似于认知心理学中的人为错误分类，但类型1在医疗实践中是独特的，特别是对实习生而言。2.2003：在2002年结果的基础上，对实习生在实践中的近意外经历进行了类型III的定量分析。数据收集自大学本科生和毕业生。分析表明，病例可分为单因和多因两种类型。根据分析结果，对病例和实例进行假设，并制定对策。3.2004：对新生护士进行访谈。对大一前6个月近乎意外的经历进行了采访。对医疗实践中出现的人为失误案例进行了第三类定量分析。由于错误模式的测量不适合学生（学员）的行为，因此为失误而设计的问卷不适合用来考察学生的危险预知与错误模式之间的关系。为学生设计了新的误差模式测量方法。