集中教学方案对医学专业最后一年学生实践处方技能的影响。
Impact of a focussed teaching programme on practical prescribing skills among final year medical students.
机构信息
NPIS Edinburgh, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, UK.
出版信息
Br J Clin Pharmacol. 2011 Jan;71(1):29-33. doi: 10.1111/j.1365-2125.2010.03808.x.
WHAT IS ALREADY KNOWN ABOUT THIS SUBJECT
Medication errors, and particularly prescribing errors, are common in UK hospitals. Junior doctors make the majority of prescribing errors. Deficiencies in prescribing education and training have been closely linked to the high frequency of medication errors.
WHAT THIS STUDY ADDS
Focussed prescribing teaching can lead to an improvement in prescribing ability. Prescribing confidence can be significantly improved through education. Education is insufficient alone in eradicating prescribing errors.
AIM
To assess the impact of prescribing teaching on final year medical students.
METHODS
Students randomly allocated to two hospitals completed a prescribing assessment. Prescribing teaching was delivered to the intervention group while no additional teaching was provided for the control group. All students then completed a second prescribing assessment.
RESULTS
Teaching improved the assessment score: mean assessment 2 vs. 1, 70% vs. 62%, P= 0.007; allergy documentation: 98% vs. 74%, P= 0.0001; and confidence. However, 30% of prescriptions continued to include prescribing errors.
CONCLUSION
Medical students make significant errors in prescribing. Teaching improves ability and confidence but is insufficient alone in eradicating errors.
已知本主题的相关信息
在英国医院，药物错误，尤其是处方错误，很常见。初级医生犯的处方错误最多。处方教育和培训的不足与药物错误的高频率密切相关。
本研究的新增内容
集中的处方教学可以提高处方能力。通过教育可以显著提高处方信心。仅教育不足以消除处方错误。
目的
评估处方教学对医学专业最后一年学生的影响。
方法
随机分配到两家医院的学生完成了处方评估。在对照组没有额外教学的情况下，对干预组进行了处方教学。然后，所有学生都完成了第二次处方评估。
结果
教学提高了评估分数：平均评估 2 分对 1 分，70%对 62%，P=0.007；过敏记录：98%对 74%，P=0.0001；和信心。然而，仍有 30%的处方包含处方错误。
结论
医学生在处方中会犯重大错误。教学可以提高能力和信心，但单独使用不足以消除错误。
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