Ault Mark J, Rosen Bradley T, Ault Brian
Division of General Internal Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
J Gen Intern Med. 2006 May;21(5):514-7. doi: 10.1111/j.1525-1497.2006.00440.x.
Following the Institute of Medicine report "To Err is Human," the Agency for Healthcare Research and Quality identified proper central venous catheter (CVC) insertion techniques and wide sterile barriers (WSB) as 2 major quality indicators for patient safety. However, no standard currently exists to teach proper procedural techniques to physicians.
To determine whether our nonhuman tissue model is an effective tool for teaching physicians proper wide sterile barrier technique, ultrasound guidance for CVC placement, and sharps safety.
Educational sessions were organized for physicians at Cedars-Sinai Medical Center. Participants had a hands-on opportunity to practice procedural skills using a nonhuman tissue model, under the direct supervision of experienced proceduralists.
An anonymous survey was distributed to participants both before and after training, measuring their reactions to all aspects of the educational sessions relative to their prior experience level.
The sessions were rated highly worthwhile, and statistically significant improvements were seen in comfort levels with ultrasound-guided vascular access and WSB (P<.001). Given the revitalized importance of patient safety and the emphasis on reducing medical errors, further studies on the utility of nonhuman tissue models for procedural training should be enthusiastically pursued.
继医学研究所发布《人皆会犯错》报告后，医疗保健研究与质量局将正确的中心静脉导管（CVC）插入技术和宽无菌屏障（WSB）确定为患者安全的两项主要质量指标。然而，目前尚无向医生传授正确操作技术的标准。
确定我们的非人体组织模型是否是一种有效的工具，用于教导医生正确的宽无菌屏障技术、CVC放置的超声引导以及锐器安全。
为雪松西奈医疗中心的医生组织了教育课程。参与者有机会在经验丰富的操作人员的直接监督下，使用非人体组织模型练习操作技能。
在培训前后向参与者发放了一份匿名调查问卷，根据他们之前的经验水平，衡量他们对教育课程各个方面的反应。
这些课程被评为非常有价值，并且在超声引导下的血管通路和宽无菌屏障的舒适度方面有统计学上的显著改善（P<.001）。鉴于患者安全的重要性重新受到重视以及对减少医疗错误的强调，应积极开展关于非人体组织模型在操作培训中的效用的进一步研究。
