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评估兽医教学医院中伴侣动物健康检查清单的使用情况:一项初步研究。

Evaluating Checklist Use in Companion Animal Wellness Visits in a Veterinary Teaching Hospital: A Preliminary Study.

作者信息

Nappier Michael T, Corrigan Virginia K, Bartl-Wilson Lara E, Freeman Mark, Werre Stephen, Tempel Eric

机构信息

Department of Small Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, Blacksburg, VA, United States.

Laboratory for Study Design and Statistical Analysis, Virginia-Maryland College of Veterinary Medicine, Blacksburg, VA, United States.

出版信息

Front Vet Sci. 2017 Jun 9;4:87. doi: 10.3389/fvets.2017.00087. eCollection 2017.

DOI:10.3389/fvets.2017.00087
PMID:28649570
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5465235/
Abstract

The number of companion animal wellness visits in private practice has been decreasing, and one important factor cited is the lack of effective communication between veterinarians and pet owners regarding the importance of preventive care. Checklists have been widely used in many fields and are especially useful in areas where a complex task must be completed with multiple small steps, or when cognitive fatigue is evident. The use of checklists in veterinary medical education has not yet been thoroughly evaluated as a potential strategy to improve communication with pet owners regarding preventive care. The authors explored whether the use of a checklist based on the American Animal Hospital Association/American Veterinary Medical Association canine and feline preventive care guidelines would benefit senior veterinary students in accomplishing more complete canine and feline wellness visits. A group of students using provided checklists was compared to a control group of students who did not use checklists on the basis of their medical record notes from the visits. The students using the checklists were routinely more complete in several areas of a wellness visit vs. those who did not use the checklists. However, neither group of students routinely discussed follow-up care recommendations such as frequency or timing of follow-up visits. The study authors recommend considering checklist use for teaching and implementing wellness in companion animal primary care veterinary clinical teaching settings.

摘要

私人执业中伴侣动物健康检查的次数一直在减少,其中一个重要因素是兽医与宠物主人之间缺乏关于预防保健重要性的有效沟通。检查表在许多领域都有广泛应用,尤其在需要通过多个小步骤完成复杂任务的领域,或者在明显存在认知疲劳的情况下非常有用。检查表在兽医医学教育中的应用尚未作为一种改善与宠物主人关于预防保健沟通的潜在策略得到充分评估。作者探讨了使用基于美国动物医院协会/美国兽医协会犬猫预防保健指南的检查表是否会有助于高年级兽医学生更完整地完成犬猫健康检查。根据就诊的病历记录,将一组使用提供检查表的学生与一组未使用检查表的学生进行比较。与未使用检查表的学生相比,使用检查表的学生在健康检查的几个方面通常做得更完整。然而,两组学生都没有常规地讨论后续护理建议,如随访就诊的频率或时间。研究作者建议在伴侣动物初级保健兽医临床教学环境中考虑使用检查表进行教学和实施健康检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0062/5465235/33bde913ca3d/fvets-04-00087-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0062/5465235/e43d0d7b3dbc/fvets-04-00087-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0062/5465235/33bde913ca3d/fvets-04-00087-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0062/5465235/e43d0d7b3dbc/fvets-04-00087-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0062/5465235/33bde913ca3d/fvets-04-00087-g002.jpg

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本文引用的文献

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Impact of Checklist Use on Wellness and Post-Elective Surgery Appointments in a Veterinary Teaching Hospital.检查表的使用对一家兽医教学医院的健康状况和择期手术后预约的影响。
J Vet Med Educ. 2017 Summer;44(2):364-368. doi: 10.3138/jvme.0316-059R. Epub 2016 Oct 25.
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J Am Vet Med Assoc. 2011 Nov 15;239(10):1311-6. doi: 10.2460/javma.239.10.1311.
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Using checklists in a gross anatomy laboratory improves learning outcomes and dissection quality.在大体解剖实验室中使用清单可提高学习效果和解剖质量。
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