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本科医学教育中患者安全课程的全国性评估:2012 年内科实习主任调查结果

A National Assessment on Patient Safety Curricula in Undergraduate Medical Education: Results From the 2012 Clerkship Directors in Internal Medicine Survey.

作者信息

Jain C Charles, Aiyer Meenakshy K, Murphy Elizabeth, Alper Eric A, Durning Steven, Aldag Jean, Torre Dario

机构信息

From the Massachusetts General Hospital, Boston, Massachusetts.

University of Illinois College of Medicine at Peoria, Peoria, Illinois.

出版信息

J Patient Saf. 2020 Mar;16(1):14-18. doi: 10.1097/PTS.0000000000000229.

Abstract

OBJECTIVES

Patient safety is a cornerstone of quality patient care, and educating medical students about patient safety is of growing importance. This investigation was a follow-up to a 2006 study to assess the current status of patient safety curricula within undergraduate medical education in North America with the additional goals of identifying areas for improvement and barriers to implementation.

METHODS

Thirteen items regarding patient safety were part of the 2012 Clerkship Directors in Internal Medicine annual survey. Questions addressed curriculum content, delivery, and barriers to implementation.

RESULTS

Ninety-nine clerkship directors (82%) responded. Forty-one (45.6%) reported that their medical school had a patient safety curriculum taught during medical school as compared with 25% in a 2006 survey. Fifteen (20%) reported satisfaction with students' level of safety competency at the end of the clerkship. Barriers to implementation included lack of faculty time (n = 57, 78.1%), lack of trained faculty (n = 47, 65.3%), and lack of a mandate from school's dean's office (n = 27, 38.0%).

CONCLUSIONS

Our study found that less than half of North American medical schools have a formal patient safety curriculum; although this is higher than in 2006, it still exemplifies a major gap in undergraduate medical education.

摘要

目的

患者安全是优质患者护理的基石,对医学生进行患者安全教育的重要性日益凸显。本调查是对2006年一项研究的后续跟进,旨在评估北美本科医学教育中患者安全课程的现状,另外还旨在确定改进领域和实施障碍。

方法

2012年内科实习主任年度调查中有13项关于患者安全的内容。问题涉及课程内容、授课方式以及实施障碍。

结果

99位实习主任(82%)做出了回应。41位(45.6%)报告称他们所在的医学院在医学院期间开设了患者安全课程,而2006年的调查中这一比例为25%。15位(20%)报告称对实习结束时学生的安全能力水平感到满意。实施障碍包括教师时间不足(n = 57,78.1%)、缺乏受过培训的教师(n = 47,65.3%)以及缺乏学校院长办公室的授权(n = 27,38.0%)。

结论

我们的研究发现,北美不到一半的医学院校设有正式的患者安全课程;尽管这一比例高于2006年,但仍表明本科医学教育存在重大差距。

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