药物安全课程中的根本原因分析项目。
A root cause analysis project in a medication safety course.
机构信息
Jefferson School of Pharmacy, Thomas Jefferson University, Philadelphia, PA 19107-5233, USA.
出版信息
Am J Pharm Educ. 2012 Aug 10;76(6):116. doi: 10.5688/ajpe766116.
OBJECTIVE
To develop, implement, and evaluate team-based root cause analysis projects as part of a required medication safety course for second-year pharmacy students.
DESIGN
Lectures, in-class activities, and out-of-class reading assignments were used to develop students' medication safety skills and introduce them to the culture of medication safety. Students applied these skills within teams by evaluating cases of medication errors using root cause analyses. Teams also developed error prevention strategies and formally presented their findings.
ASSESSMENT
Student performance was assessed using a medication errors evaluation rubric. Of the 211 students who completed the course, the majority performed well on root cause analysis assignments and rated them favorably on course evaluations.
CONCLUSION
Medication error evaluation and prevention was successfully introduced in a medication safety course using team-based root cause analysis projects.
目的
在二年级药学学生必修的药物安全课程中，开发、实施和评估基于团队的根本原因分析项目。
设计
讲座、课堂活动和课外阅读作业用于培养学生的药物安全技能，并向他们介绍药物安全文化。学生通过使用根本原因分析评估药物错误案例，在团队中应用这些技能。团队还制定了错误预防策略，并正式提交了他们的发现。
评估
使用药物错误评估量表评估学生的表现。在完成该课程的 211 名学生中，大多数学生在根本原因分析作业中表现出色，并在课程评估中对其给予高度评价。
结论
通过使用基于团队的根本原因分析项目，在药物安全课程中成功引入了药物错误评估和预防。
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