Maeda Shoichi, Kamishiraki Etsuko, Starkey Jay, Ehara Kazumasa
Graduate School of Health Management, Keio University, 4411 Endo, Fujisawa, Kanagawa, 252-8530, Japan.
BMC Res Notes. 2011 Oct 17;4:416. doi: 10.1186/1756-0500-4-416.
Patient safety education is becoming of worldwide interest and concern in the field of healthcare, particularly in the field of nursing. However, as elsewhere, little is known about the extent to which nursing schools have adopted patient safety education into their curricula. We conducted a nationwide survey to characterize patient safety education at nursing schools in Japan.
Response rate was 43% overall. Ninety percent of nursing schools have integrated the topic of patient safety education into their curricula. However, 30% reported devoting less than five hours to the topic. All schools use lecture based teaching methods while few used others, such as role playing. Topics related to medical error theory are widely taught, e.g. human factors and theories & models (Swiss Cheese Model, Heinrich's Law) while relatively few schools cover practical topics related to error analysis such as root cause analysis.
Most nursing schools in Japan cover the topic of patient safety, but the number of hours devoted is modest and teaching methods are suboptimal. Even so, national inclusion of patient safety education is a worthy, achievable goal.
患者安全教育在医疗保健领域，尤其是护理领域，正成为全球关注的焦点。然而，与其他地方一样，对于护理学校在多大程度上将患者安全教育纳入其课程体系，人们知之甚少。我们开展了一项全国性调查，以描述日本护理学校的患者安全教育情况。
总体回复率为43%。90%的护理学校已将患者安全教育主题纳入其课程体系。然而，30%的学校报告称在该主题上投入的时间少于5小时。所有学校都采用基于讲座的教学方法，而很少使用其他方法，如角色扮演。与医疗差错理论相关的主题被广泛教授，例如人为因素以及理论和模型（瑞士奶酪模型、海因里希法则），而相对较少的学校涵盖与差错分析相关的实践主题，如根本原因分析。
日本大多数护理学校都涵盖了患者安全教育主题，但投入的时间有限，教学方法也不尽人意。即便如此，在全国范围内纳入患者安全教育仍是一个值得追求且可以实现的目标。
