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跨专业合作提高儿科用药安全性

An interprofessional approach to improving paediatric medication safety.

机构信息

Department of Child Health, Queen's University Belfast, Belfast, Northern Ireland.

出版信息

BMC Med Educ. 2010 Feb 19;10:19. doi: 10.1186/1472-6920-10-19.

Abstract

BACKGROUND

Safe drug prescribing and administration are essential elements within undergraduate healthcare curricula, but medication errors, especially in paediatric practice, continue to compromise patient safety. In this area of clinical care, collective responsibility, team working and communication between health professionals have been identified as key elements in safe clinical practice. To date, there is limited research evidence as to how best to deliver teaching and learning of these competencies to practitioners of the future.

METHODS

An interprofessional workshop to facilitate learning of knowledge, core competencies, communication and team working skills in paediatric drug prescribing and administration at undergraduate level was developed and evaluated. The practical, ward-based workshop was delivered to 4th year medical and 3rd year nursing students and evaluated using a pre and post workshop questionnaire with open-ended response questions.

RESULTS

Following the workshop, students reported an increase in their knowledge and awareness of paediatric medication safety and the causes of medication errors (p < 0.001), with the greatest increase noted among medical students. Highly significant changes in students' attitudes to shared learning were observed, indicating that safe medication practice is learnt more effectively with students from other healthcare disciplines. Qualitative data revealed that students' participation in the workshop improved communication and teamworking skills, and led to greater awareness of the role of other healthcare professionals.

CONCLUSION

This study has helped bridge the knowledge-skills gap, demonstrating how an interprofessional approach to drug prescribing and administration has the potential to improve quality and safety within healthcare.

摘要

背景

安全的药物处方和管理是本科医疗保健课程的重要组成部分,但药物错误,尤其是在儿科实践中,仍然危及患者安全。在这一临床护理领域,集体责任、团队合作以及卫生专业人员之间的沟通被认为是安全临床实践的关键要素。迄今为止,关于如何最好地向未来的从业者传授这些能力的教学方法的研究证据有限。

方法

开发并评估了一种跨专业的研讨会,以促进本科儿科药物处方和管理方面的知识、核心能力、沟通和团队合作技能的学习。该实践型、基于病房的研讨会面向四年级医学生和三年级护理学生开展,并使用带有开放式问题的预研讨会和后研讨会问卷进行评估。

结果

研讨会结束后,学生报告称,他们对儿科药物安全和药物错误的原因的了解和认识有所增加(p<0.001),医学生的增幅最大。学生对共享学习的态度发生了显著变化,这表明来自其他医疗保健学科的学生更有效地学习安全用药实践。定性数据显示,学生参与研讨会提高了沟通和团队合作技能,并提高了对其他医疗保健专业人员角色的认识。

结论

本研究有助于弥合知识与技能之间的差距,证明了药物处方和管理的跨专业方法有可能提高医疗保健的质量和安全性。

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