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运用定性和定量评估为外科住院医师制定患者安全课程。

Using Qualitative and Quantitative Assessment to Develop a Patient Safety Curriculum for Surgical Residents.

作者信息

McKee Rohini, Sussman Andrew L, Nelson M Timothy, Russell John C

机构信息

Department of Surgery, University of New Mexico, Albuquerque, New Mexico.

Department of Family and Community Medicine, University of New Mexico, Albuquerque, New Mexico.

出版信息

J Surg Educ. 2016 May-Jun;73(3):529-35. doi: 10.1016/j.jsurg.2015.12.006.

DOI:10.1016/j.jsurg.2015.12.006
PMID:26947121
Abstract

OBJECTIVE

The objective is to use qualitative and quantitative analysis to develop a patient safety curriculum for surgical residents.

DESIGN

A prospective study of surgical residents using both quantitative and qualitative methods to craft a patient safety curriculum. Both a survey and focus groups were held before and 4 months after delivery of the patient safety curriculum.

SETTING

The University of New Mexico Hospital, a tertiary academic medical center.

PARTICIPANTS

General surgery residents, postgraduate years 1 to 5 RESULTS: Qualitative and quantitative analysis revealed areas that required attention and thus helped to mold the curriculum. Qualitative analysis after delivery of the curriculum showed positive changes in attitudes and normative beliefs toward patient safety. Specifically, attitudes and approach to quality improvement and teamwork showed improvement. Survey analysis did not show any significant change in resident perception of the environment during the time frame of this study.

CONCLUSIONS

Using qualitative analysis to uncover attitudinal barriers to a safe patient environment can help to enhance the relevance and content of a patient safety curriculum for general surgery residents.

摘要

目的

目的是运用定性和定量分析方法,为外科住院医师制定患者安全课程。

设计

一项针对外科住院医师的前瞻性研究,采用定量和定性方法来设计患者安全课程。在患者安全课程交付前和交付后4个月分别进行了一项调查和焦点小组讨论。

地点

新墨西哥大学医院,一家三级学术医疗中心。

参与者

普通外科住院医师,1至5年级研究生

结果

定性和定量分析揭示了需要关注的领域,从而有助于塑造课程内容。课程交付后的定性分析显示,对患者安全的态度和规范信念有了积极变化。具体而言,质量改进和团队合作的态度及方法有了改进。调查分析表明,在本研究期间,住院医师对环境的认知没有任何显著变化。

结论

运用定性分析来揭示安全患者环境的态度障碍,有助于提高普通外科住院医师患者安全课程的相关性和内容质量。

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