Paxton James H, Rubinfeld Ilan S
Henry Ford Hospital, Detroit, MI 48202, USA.
Am J Med Qual. 2010 Mar-Apr;25(2):135-42. doi: 10.1177/1062860609353345. Epub 2010 Jan 28.
Medical errors training is an important yet often overlooked aspect of medical education. A medical errors educational session was developed for rotating medical students (MSs) with prospective analysis of the educational tool. Students completed the same 12-question test before and after the educational session and a long-term posttest 1 to 12 months later. Control students who did not take part in the session completed the test twice with a 6-month interval. In all, 51 students completed a pretest and a short-term posttest, and 35 students completed a long-term posttest. Test scores for the study group increased significantly from a pretest mean of 29.3% to a short-term posttest mean of 73.7% ( P < .001) and a long-term posttest mean of 49.1% (P < .001). Long-term test scores for 24 control group students were significantly lower (P < .001). This brief educational intervention led to statistically significant improved performance in general understanding of medical errors and could be a useful tool to enhance MS awareness and proactive handling of medical errors.
医疗差错培训是医学教育中一个重要但常常被忽视的方面。我们为轮转医学生(MS)开发了一次医疗差错教育课程,并对该教育工具进行前瞻性分析。学生们在教育课程前后完成了相同的12道题测试,并在1至12个月后进行了长期的后期测试。未参加该课程的对照学生在6个月的间隔内完成了两次测试。共有51名学生完成了预测试和短期后期测试,35名学生完成了长期后期测试。研究组的测试成绩从预测试平均29.3%显著提高到短期后期测试平均73.7%(P <.001)和长期后期测试平均49.1%(P <.001)。24名对照组学生的长期测试成绩显著更低(P <.001)。这种简短的教育干预在对医疗差错的总体理解方面带来了统计学上显著的成绩提升,并且可能是提高医学生对医疗差错的认识及主动处理能力的有用工具。