Miller Ryan, Winterton Tessa, Hoffman Wendell W
Sanford School of Medicine of the University of South Dakota, USA.
S D Med. 2014 Jan;67(1):17-9, 21-3.
Throughout the last decade, there has been a significant move toward integrating patient safety and quality improvement concepts into health professions education, essentially building a whole new mind in terms of medical knowledge. While existing literature has suggested possible means of implementation, little research has described outcomes and specific examples of integration. The Institute for Healthcare Improvement (IHI) Open School offers a curriculum that could be incorporated in most health professions training. This project serves to study implementation of Open School courses, garner student feedback and guide the implementation of quality and safety curricula across health disciplines in South Dakota.
First-year medical and allied health students at the University of South Dakota completed surveys before and after having one introductory lecture and finishing two of the Open School courses in interprofessional teams within an existing health professions course.
Medical student means showed significant differences in 16 of 16 (p=0.05) primary teaching points related to Open School course objectives, while allied health students showed significant differences in 13 of 16 (p=0.05) points. Students valued an introductory lecture and thought their educational experience was enhanced by the addition of the Open School courses.
Our results demonstrate that the Open School courses chosen for this sample of interprofessional students provide a simple, inexpensive and effective method to implement quality and patient safety concepts within existing health professions curricula.
在过去十年中,出现了将患者安全和质量改进概念融入卫生专业教育的重大举措,这实际上是在医学知识方面构建了一种全新的思维方式。虽然现有文献提出了可能的实施方法,但很少有研究描述整合的成果和具体实例。医疗改进研究所(IHI)开放学院提供了一门可纳入大多数卫生专业培训的课程。本项目旨在研究开放学院课程的实施情况,收集学生反馈,并指导南达科他州各卫生学科质量与安全课程的实施。
南达科他大学的一年级医学和相关健康专业学生在参加一次入门讲座前后以及在现有卫生专业课程中的跨专业团队中完成两门开放学院课程后,分别进行了调查。
医学专业学生在与开放学院课程目标相关的16个主要教学点中的16个(p = 0.05)显示出显著差异,而相关健康专业学生在16个教学点中的13个(p = 0.05)显示出显著差异。学生们重视入门讲座,并认为增加开放学院课程提升了他们的教育体验。
我们的结果表明,为这个跨专业学生样本选择的开放学院课程提供了一种简单、廉价且有效的方法,可在现有卫生专业课程中实施质量和患者安全概念。