Research on support intervention for malpractice prevention in basic nursing education

1.2002年：针对实习生在实习过程中出现的近乎偶然的经历，运用第三类定量分析方法，分析了此类事件发生的原因。因此，将原因分为以下四种类型。1.由于患者的特征和情况导致的判断错误，2.由于知识不足导致的错误，3.失误，4.失误。第二至第四类可能类似于认知心理学中的人为错误分类，但第一类在医疗实践中是独特的，特别是在受训者中。2.2003年：根据2002年的结果，对受训者在实践中的近乎意外的经历进行了定量分析。资料来源于大学生和监护人。分析结果表明，病例可分为单因和多因两种类型。根据分析的结果，提出了案例和实例，并制定了相应的对策。3. 2004年：对新生进行面试考核。在大一的前6个月里，对近乎偶然的经历进行了访谈。对医疗实践中的人为失误案例进行了第三类定量分析。人们意识到，针对失误设计的问卷不适合检查危险预感与学生错误模式之间的关系，因为错误模式测量不适合学生（学员）的行为。为学生设计了新的错误模式测量。

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.