John Rita Marie, Hall Elizabeth, Bakken Suzanne
School of Nursing and.
NI 2012 (2012). 2012 Jun 23;2012:194. eCollection 2012.
Patient safety is a priority for healthcare today. Despite a large proportion of malpractice claims the result of diagnostic error, the use of diagnostic decision support to improve diagnostic accuracy has not been widely used among healthcare professionals. Moreover, while the use of diagnostic decision support has been studied in attending physicians, residents, medical students and advanced practice nurses, the use of decision support among Advanced Practice Nurse (APN) students has not been studied. The authors have implemented the Isabel diagnostic decision support system into the curriculum and are evaluating its impact. The goals of the evaluation study are to describe the diagnostic accuracy and self-reported confidence levels of Pediatric Nurse Practitioner (PNP) and Family Nurse Practitioner (FNP) students over the course of their programs, to examine changes in diagnostic accuracy and self-reported confidence levels over the study period, and to evaluate differences between FNP and PNP students in diagnostic accuracy and self-reported confidence levels for pediatric cases. This paper summarizes establishment of the academic/industry collaboration, case generation, integration of Isabel into the curriculum, and evaluation design.
患者安全是当今医疗保健的首要任务。尽管很大一部分医疗事故索赔是诊断错误的结果，但诊断决策支持工具在提高诊断准确性方面的应用在医疗保健专业人员中尚未得到广泛使用。此外，虽然已经在主治医师、住院医师、医学生和高级执业护士中研究了诊断决策支持工具的使用情况，但尚未对高级执业护士（APN）学生使用决策支持工具的情况进行研究。作者已将伊莎贝尔诊断决策支持系统纳入课程，并正在评估其影响。评估研究的目标是描述儿科执业护士（PNP）和家庭执业护士（FNP）学生在其课程过程中的诊断准确性和自我报告的信心水平，研究在研究期间诊断准确性和自我报告的信心水平的变化，并评估FNP和PNP学生在儿科病例诊断准确性和自我报告的信心水平方面的差异。本文总结了学术/行业合作的建立、病例生成、将伊莎贝尔纳入课程以及评估设计。
