Department of Educational Development and Research, Faculty of Health, Medicine and Life Sciences, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands.
Med Teach. 2012;34(11):946-54. doi: 10.3109/0142159X.2012.714873. Epub 2012 Aug 30.
Patient safety has become an important topic over the last decade and has also been increasingly implemented in the undergraduate curriculum. However, the best timing and method of teaching still remains to be decided.
To develop and evaluate a patient safety course for final-year students. The course is based on reflective learning and personal experiences to improve the transfer of theory into practice.
We performed a mixed method evaluation study of the course. An evaluation questionnaire and the number of completed incident report cards were analyzed using descriptive statistics. Focus groups, organized two and four weeks after the course, were analyzed using template analysis; the Theory of Planned Behaviour (TPB) was used to interpret the results.
Students found the course overall instructive and reacted positively towards many elements of the course. Focus group analysis showed that an increase in knowledge about patient safety topics resulted in a change of attitudes towards these subjects and in an increase in awareness of patient safety. This influenced students' behavioral intention and their behavior.
A course based on students' personal experiences enables them to transfer theory on patient safety issues into their own practice and has an effect on their awareness, attitudes and behavior. This could have a large impact on their future role as resident.
过去十年，患者安全已成为一个重要议题，并逐渐被纳入本科生课程中。然而，最佳的教学时机和方法仍有待确定。
为即将毕业的学生开发并评估一门患者安全课程。该课程基于反思性学习和个人经验，旨在提高理论向实践的转化。
我们对该课程进行了混合方法评估研究。使用描述性统计方法对评估问卷和完成的事件报告卡数量进行分析。课程结束后两周和四周组织焦点小组讨论，使用模板分析法进行分析；并使用计划行为理论（TPB）对结果进行解释。
学生们认为该课程总体上具有启发性，并对课程的许多方面反应积极。焦点小组分析表明，对患者安全主题知识的增加导致对这些主题的态度发生变化，并提高了对患者安全的认识。这影响了学生的行为意向和行为。
基于学生个人经验的课程使他们能够将患者安全问题的理论应用于自己的实践中，并对他们的意识、态度和行为产生影响。这可能对他们未来作为住院医师的角色产生重大影响。
