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跨专业团队向模拟患者披露医疗差错的评估

Evaluation of Interprofessional Team Disclosure of a Medical Error to a Simulated Patient.

作者信息

Ragucci Kelly R, Kern Donna H, Shrader Sarah P

机构信息

South Carolina College of Pharmacy, Charleston, South Carolina.

Medical University of South Carolina College of Medicine, Charleston, South Carolina.

出版信息

Am J Pharm Educ. 2016 Oct 25;80(8):138. doi: 10.5688/ajpe808138.

Abstract

To evaluate the impact of an Interprofessional Communication Skills Workshop on pharmacy student confidence and proficiency in disclosing medical errors to patients. Pharmacy student behavior was also compared to that of other health professions' students on the team. Students from up to four different health professions participated in a simulation as part of an interprofessional team. Teams were evaluated with a validated rubric postsimulation on how well they handled the disclosure of an error to the patient. Individually, each student provided anonymous feedback and self-reflected on their abilities via a Likert-scale evaluation tool. A comparison of pharmacy students who completed the workshop (active group) vs all others who did not (control group) was completed and analyzed. The majority of students felt they had adequate training related to communication issues that cause medication errors. However, fewer students believed that they knew how to report such an error to a patient or within a health system. Pharmacy students who completed the workshop were significantly more comfortable explicitly stating the error disclosure to a patient and/or caregiver and were more likely to apologize and respond to questions forthrightly (<0.05). This data affirms the need to devote more time to training students on communicating with patients about the occurrence of medical errors and how to report these errors. Educators should be encouraged to incorporate such training within interprofessional education curricula.

摘要

评估跨专业沟通技能研讨会对药学专业学生向患者披露医疗差错时的信心和熟练程度的影响。还将药学专业学生的行为与团队中其他健康专业学生的行为进行了比较。来自多达四个不同健康专业的学生作为跨专业团队的一部分参与了模拟。模拟结束后,使用经过验证的评分标准对团队处理向患者披露差错的情况进行评估。每个学生单独通过李克特量表评估工具提供匿名反馈并自我反思自己的能力。完成了对参加研讨会的药学专业学生(实验组)与所有未参加的学生(对照组)的比较并进行了分析。大多数学生认为他们接受了与导致用药差错的沟通问题相关的充分培训。然而,较少学生认为他们知道如何向患者或在医疗系统内报告此类差错。完成研讨会的药学专业学生在向患者和/或护理人员明确说明差错披露方面明显更自在,并且更有可能道歉并直接回答问题(<0.05)。这些数据证实有必要投入更多时间对学生进行关于与患者沟通医疗差错的发生情况以及如何报告这些差错的培训。应鼓励教育工作者将此类培训纳入跨专业教育课程。

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