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美国卫生职业教育中的患者安全教学。

Patient safety instruction in US health professions education.

机构信息

School of Pharmacy, Manchester College, Fort Wayne, IN 46805, USA.

出版信息

Am J Pharm Educ. 2011 Oct 10;75(8):162. doi: 10.5688/ajpe758162.

DOI:10.5688/ajpe758162
PMID:22102752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3220343/
Abstract

OBJECTIVE

To describe patient safety instruction in health professional curricula, including medicine, nursing, pharmacy, and dentistry.

METHODS

A systematic review of the literature from 1966 through 2010 was conducted using 6 databases and based on 3 search criteria: safety management, patient safety, and curriculum.

RESULTS

One hundred fifty-four articles were identified and 23 met inclusion criteria. A variety of educational methods have been used in health profession curricula to promote patient safety including lectures, workshops, objective structured clinical examinations, standardized patients, simulation exercises, root cause analysis, quality assurance projects, and other interactive learning methods. The development of patient safety curricula has been primarily discipline-specific, with little interdisciplinary research found.

CONCLUSIONS

Safe, patient-centered care is directly influenced by the quality of education that healthcare professions students receive. From this literature review, research is needed to guide curricular change, specifically focusing on instructional methods and interdisciplinary collaborations.

摘要

目的

描述医学、护理、药学和牙科等医疗专业课程中的患者安全教学。

方法

通过 6 个数据库,对从 1966 年至 2010 年的文献进行系统回顾,基于 3 个搜索标准:安全管理、患者安全和课程。

结果

确定了 154 篇文章,其中 23 篇符合纳入标准。在医疗专业课程中,采用了多种教育方法来促进患者安全,包括讲座、研讨会、客观结构化临床考试、标准化患者、模拟练习、根本原因分析、质量保证项目和其他互动学习方法。患者安全课程的发展主要是学科特定的,很少有跨学科的研究。

结论

安全、以患者为中心的护理直接受到医疗保健专业学生所接受教育质量的影响。从文献回顾来看,需要开展研究来指导课程改革,特别是侧重于教学方法和跨学科合作。

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本文引用的文献

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Using the american board of internal medicine practice improvement modules to teach internal medicine residents practice improvement.使用美国内科医学委员会实践改进模块来教授内科住院医师实践改进。
J Grad Med Educ. 2010 Mar;2(1):90-5. doi: 10.4300/JGME-D-09-00032.1.
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Changing the culture in medical education to teach patient safety.改变医学教育文化,教授患者安全知识。
Health Aff (Millwood). 2010 Sep;29(9):1600-4. doi: 10.1377/hlthaff.2010.0776.
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The Educating Pharmacy Students and Pharmacists to Improve Quality program: tool for pharmacy practice.培养药学学生和药师以提高质量计划:药学实践工具。
J Am Pharm Assoc (2003). 2010 Jul-Aug;50(4):534-8. doi: 10.1331/JAPhA.2010.10019.
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Teaching quality improvement.教学质量提升。
J Nurs Educ. 2010 Aug;49(8):466-9. doi: 10.3928/01484834-20100430-09.
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Embracing quality and safety education for the 21st century: building interprofessional education.拥抱 21 世纪的质量与安全教育:构建跨专业教育。
J Nurs Educ. 2009 Dec;48(12):698-701. doi: 10.3928/01484834-20091113-13.
6
The new fundamentals in nursing: introducing beginning quality and safety education for nurses' competencies.护理学新基础:引入护士基本素质与能力的质量和安全教育培训。
J Nurs Educ. 2009 Dec;48(12):694-7. doi: 10.3928/01484834-20091113-10.
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Using quality and safety education for nurses to enhance competency outcome performance assessment: a synergistic approach that promotes patient safety and quality outcomes.利用护士质量和安全教育培训来提升能力表现评估:一种协同方法,可促进患者安全和质量结果。
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Student learning outcomes after integration of quality and safety education competencies into a senior-level critical care course.将质量和安全教育培训内容融入高级重症监护课程后学生的学习成果。
J Nurs Educ. 2009 Dec;48(12):678-85. doi: 10.3928/01484834-20091113-07.
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Web-based hazard and near-miss reporting as part of a patient safety curriculum.基于网络的危害和险兆事件报告作为患者安全课程的一部分。
J Nurs Educ. 2009 Dec;48(12):669-77. doi: 10.3928/01484834-20091113-03.
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Fostering patient safety competencies using multiple-patient simulation experiences.利用多患者模拟体验培养患者安全能力。
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