Department of Surgery, Li Ka Shing Faulty of Medicine, The University of Hong Kong, China.
Med Teach. 2010;32(12):e547-51. doi: 10.3109/0142159X.2010.528810.
Identifying informed and interested staff to teach patient safety can be difficult. We report our experiences with a lecture-based program on patient safety delivered by health care administrators.
A self-administered questionnaire survey on patient safety culture was given to 130 third-year medical students before ('pre-test') and at 3 months after ('post-test') the program. The latter consisted of two 60-minute whole-class lectures using contemporary medical incidents in this locality as illustrative cases.
Thirteen of the 23 questionnaire items (56.5%) showed statistically significant changes at the post-test. Students became more appreciative of the notions that errors were inevitable, and that disciplinary actions and 'being more careful' may not be the most effective strategies for the prevention of error. Issues concerning error reporting were more resistant to our educational intervention. Students regarded patient safety as an important topic that should be included in undergraduate teaching and professional examinations.
The implementation of a patient safety curriculum should be tailored to an institution's needs, limitations, and culture. Health care administrators were found to be effective faculties. A brief lecture-based program could be integrated readily into an existing curriculum, and was found to produce at least short-term, positive changes.
识别有见识和有兴趣的员工来教授患者安全可能很困难。我们报告了由医疗保健管理人员进行的基于讲座的患者安全课程的经验。
在该课程之前（“前测”）和之后 3 个月（“后测”），对 130 名三年级医学生进行了一项关于患者安全文化的自我管理问卷调查。后者由两个 60 分钟的全班讲座组成，使用本地区的当代医疗事件作为说明性案例。
在“后测”中，13 个问卷项目中的 13 个（56.5%）显示出统计学上的显著变化。学生们更加意识到错误是不可避免的，纪律处分和“更加小心”可能不是预防错误的最有效策略。有关错误报告的问题更难接受我们的教育干预。学生认为患者安全是本科教学和专业考试中应该包含的重要主题。
实施患者安全课程应根据机构的需求、限制和文化进行调整。医疗保健管理人员被发现是有效的教师。简短的基于讲座的课程可以很容易地融入现有的课程中，并被发现产生了至少短期的积极变化。
