Multi-Modal Interprofessional Training to Improve Chemotherapy Safety

化疗是一种高容量，高风险的临床干预，涉及跨专业的护理 团队跨专业教育（IPE）是提高医疗质量和安全性的关键因素 服务尽管IPE的既定好处，临床医生经常在筒仓中进行培训，特别是在 学术健康中心在有经验的临床医生中明显缺乏IPE是令人震惊的;在 化疗的安全性是如此的高。需要新的方法来保证 经验丰富的临床医生不断接受循证培训。医学研究所和其他机构 认可跨专业教育，以提高有关高风险护理提供的知识和技能， as chemotherapy化疗.我们不知道任何培训计划，包括不同的专业和使用虚拟 培训方法以提高化疗给药的安全性。我们的初步数据显示， 关于这些主题的知识不够理想，持续的跨专业培训也很少。我们提出了一种新 一个项目，开发，完善和评估高风险化疗方案的培训计划，有针对性地 执业护士和药剂师提出了三个具体目标：1）制定和提供一个 跨专业化疗安全课程; 2）评估 关于学习者和健康结果的跨专业化疗安全课程，以及; 3）开发 评估补充数字资源，以加强化疗安全知识和技能。 我们的跨学科专家团队将开发，交付和评估内容，为期一天，面对面 在密歇根大学全新的护理学院的研讨会。主题将包括安全处理 危险药物，如化疗，肿瘤紧急情况的管理，外渗和患者 接受口服化疗和临床实践的变化。结合讲座，案例研究， 将使用模拟技术。研讨会结束后，与会者将能够按需查看内容 并完成额外的培训以保留关键概念。在五年内，我们将提供七个研讨会， 60名护士和药剂师参与者（总计n= 420）。我们将使用柯克帕特里克的框架来评估 培训对可用性、可接受性、知识、感知实践变化和感知效益的影响。 我们将联合收割机教学和实践培训结合在一个引人入胜的按需应用程序中，以提高知识和 并促进实践变化。一个更加知情的肿瘤学工作人员可能会减少负担， 对患者和供应商的不良化疗事件。

Chemotherapy is a high-volume, high-risk clinical intervention that involves the care of an interprofessional team. Interprofessional education (IPE) is a crucial ingredient to improved quality and safety of healthcare services. Despite the established benefits of IPE, clinicians routinely train in silos, particularly outside of academic health centers. The glaring absence of IPE among experienced clinicians is astounding; more so in the context of chemotherapy safety where the stakes are so high. Novel pedagogies are needed to assure experienced clinicians receive ongoing evidence-based training. The Institute of Medicine and others have endorsed interprofessional education to improve knowledge and skills surrounding high-risk care delivery, such as chemotherapy. We are not aware of any training programs that include different professions and use virtual training methods to improve the safety of chemotherapy administration. Our preliminary data suggest that knowledge on these topics is suboptimal and ongoing interprofessional training is scarce. We propose a novel project that develops, refines, and evaluates a training program for high-risk chemotherapy scenarios, targeted to practicing nurses and pharmacists. Three specific aims are proposed: 1) Develop and deliver an interprofessional chemotherapy safety curriculum; 2) Evaluate the effectiveness of an interprofessional chemotherapy safety curriculum on learner and health outcomes, and; 3) Develop and evaluate supplemental digital resources to reinforce chemotherapy safety knowledge and skills. Our interdisciplinary team of experts will develop, deliver, and evaluate content for a one-day, in-person workshop at the brand-new University of Michigan School of Nursing. Topics will include safe handling of hazardous drugs like chemotherapy, management of oncology emergencies, extravasations, and patients receiving oral chemotherapy, and clinical practice change. A combination of lectures, case studies, and simulation techniques will be used. After the workshop, participants will be able to view content on-demand and complete additional training to retain key concepts. Over five years, we will offer seven workshops with up for 60 nurse and pharmacist participants (total n= 420). We will use Kirkpatrick's framework to evaluate the effects of the training on usability, acceptability, knowledge, perceived practice change, and perceived benefits. We combine didactic and practical training in an engaging, on-demand application to improve knowledge and skill and facilitate practice change. A more informed oncology workforce will likely reduce the burden of adverse chemotherapy events on patients and providers.