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患者安全认证远程课程的设计、实施与评估

Formulation, implementation and evaluation of a distance course for accreditation in patient safety.

作者信息

Wanderlei Poliana Nunes, Montagna Erik

机构信息

Faculdade de Medicina do ABC, Santo André, SP, Brazil.

出版信息

Einstein (Sao Paulo). 2018 Jun 28;16(2):eGS4316. doi: 10.1590/S1679-45082018GS4316.

Abstract

OBJECTIVE

To formulate and to implement a virtual learning environment course in patient safety, and to propose ways to estimate the impact of the course in patient safety outcomes.

METHODS

The course was part of an accreditation process and involved all employees of a public hospital in Brazil. The whole hospital staff was enrolled in the course. The accreditation team defined the syllabus. The education guidelines were divided into 12 modules related to quality, patient safety and required organizational practices. The assessment was performed at the end of each module through multiple-choice tests. The results were estimated according to occurrence of adverse events. Data were collected after the course, and employees' attitude was surveyed.

RESULTS

More than 80% of participants reached up to 70% success on tests after the course; the event-reporting rate increased from 714 (16,264 patients) to 1,401 (10,180 patients).

CONCLUSION

Virtual learning environment was a successful tool data. Data on course evaluation is consistent with increase in identification and reporting of adverse events. Although the report increment is not positive per si, it indicates changes in patient safety culture.

摘要

目的

制定并实施一门关于患者安全的虚拟学习环境课程,并提出评估该课程对患者安全结果影响的方法。

方法

该课程是认证过程的一部分,涉及巴西一家公立医院的所有员工。全体医院工作人员都参加了该课程。认证团队确定了教学大纲。教育指南分为12个与质量、患者安全及所需组织实践相关的模块。在每个模块结束时通过多项选择题测试进行评估。根据不良事件的发生情况评估结果。课程结束后收集数据,并对员工态度进行调查。

结果

超过80%的参与者在课程结束后的测试中成功率达到70%;事件报告率从714起(针对16264名患者)增至1401起(针对10180名患者)。

结论

虚拟学习环境是一种成功的数据工具。课程评估数据与不良事件识别和报告的增加相一致。虽然报告的增加本身并非正向,但它表明了患者安全文化的变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/079a/6019240/115cee8e064e/1679-4508-eins-16-02-eGS4316-gf01.jpg

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