Development of CAI teaching system to promote the ability of medical malpractice prevention

本研究的目的是开发计算机辅助教学（CAI）教材，以提高医学生预防医疗事故的能力。预防医疗事故的发生需要护士具备风险预见能力，通过强化教育和个体学习提高护士的风险预见能力。本研究的特点是注重“风险预见能力”和“从失败中学习”，以109例医疗事故和事件为研究对象，构建教材内容的基础数据。结果表明，“缺乏风险预见能力”是导致护理事故和事件发生的主要因素，并对临床护士和护生的风险预见能力进行了调查。在此基础上，我们进行了试卷模拟，并在此基础上进行了CAI教学系统的实验性制作。该系统分为两个部分，一部分面向学生/学习者，另一部分面向教师/管理员，在将系统上传到网页后，我们招募了想要使用该CAI教学系统的学生。32名护生对该系统进行了评价。经80%以上护生反馈，可作为个性化学习的教材。

The aim of this study was to develop CAI(Computer Assisted Instruction) teaching material to promote the ability of medical malpractice prevention. It is necessary that nurses have the risk foresee ability to prevent the medical malpractice.The risk foresee ability rose by piling an education and individual learning. The trait of this study was to pay attention to "Risk foresee ability" and "Learning from the failure".To start with our study, we investigated 109 cases of the medical accidents and incidents to construct basic data of the content of the teaching material. It emerged that the main factor of the accidents and incidents were "Lack of a risk foresee ability".Next, we conducted the investigation concerning a risk in a clinical setting to clarify the risk foresee ability of clinical nurses and nursing students. As a result, it was more difficult for nursing students to image concretely the risky situation, the cause of the malpractice, the influence of the risk.Based on these findings we made paper simulation and after that we tried to make the CAI teaching system experimentally. The system contains two parts, the one part for students/learners and the other part for teachers/administrator.After uploaded the system to web page, we recruited the students who want to use the CAI teaching system. The system was evaluated by 32 nursing students. It had been shown to be useful as a teaching material for the individual learning through the feedback from over 80% of the nursing students.