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运用跨专业药物管理模拟来影响学生对团队合作的态度,以预防用药错误。

Using interprofessional medication management simulations to impact student attitudes toward teamwork to prevent medication errors.

作者信息

Motycka Carol, Egelund Eric F, Gannon Jane, Genuardi Frank, Gautam Shiva, Stittsworth Shannon, Young Amanda, Simon Leslie

机构信息

Department of Pharmacotherapy & Translational Research, College of Pharmacy, University of Florida, 580 W. 8th Street, Jacksonville, FL 32209, United States.

Department of Pharmacotherapy & Translational Research, College of Pharmacy, University of Florida, 580 W. 8th Street, Jacksonville, FL 32209, United States.

出版信息

Curr Pharm Teach Learn. 2018 Jul;10(7):982-989. doi: 10.1016/j.cptl.2018.04.010. Epub 2018 Apr 30.

DOI:10.1016/j.cptl.2018.04.010
PMID:30236437
Abstract

BACKGROUND

We developed and implemented a project incorporating ACPE Standard 11 and all Core IPEC competencies at a public University located at a medical center. The project was a collaboration between the colleges of nursing, pharmacy, and medicine at a distance campus location.

INTERPROFESSIONAL EDUCATION ACTIVITY

Our Interprofessional Education Activity, which targeted all three elements of ACPE Standard 11, provided TeamSTEPPS training followed by four medical error simulations. A debriefing took place after each scenario within a team as well as with all four groups following each simulation session. The Teamwork Attitudes Questionnaire (TTAQ) was used to evaluate the activity.

DISCUSSION

Findings from our interprofessional education activity indicate that while students entered the activity already perceiving teamwork as a positive aspect of safe care delivery, significant improvement in attitudes post training toward specific team constructs was seen across all five domains. The project helped inform the structure of a replication of this effort that is currently underway, with a focus on embedding it in the curricula of all three programs (medicine, pharmacy, and nursing) across campuses.

IMPLICATIONS

In summary, working collaboratively in a team while being exposed to a series of medication management scenarios enhances teamwork attitudes as well as potentially improving performance. Based on the positive initial results, plans have begun to extend the experience to other campuses and include a wider group of students.

摘要

背景

我们在位于医疗中心的一所公立大学开展并实施了一个包含药学教育认证委员会(ACPE)标准11和所有跨专业教育协作(IPEC)核心能力的项目。该项目是远程校区护理学院、药学院和医学院之间的合作。

跨专业教育活动

我们的跨专业教育活动针对ACPE标准11的所有三个要素,提供了团队策略与拓展训练(TeamSTEPPS)培训,随后进行了四次医疗差错模拟。每次模拟场景结束后,各团队内部以及所有四个小组都会进行总结汇报。使用团队合作态度问卷(TTAQ)来评估该活动。

讨论

我们跨专业教育活动的结果表明,虽然学生在参与活动时就已经将团队合作视为安全护理服务的一个积极方面,但在培训后,所有五个领域对特定团队构建的态度都有了显著改善。该项目为目前正在进行的这项工作的复制结构提供了参考,重点是将其纳入所有三个项目(医学、药学和护理)跨校区的课程中。

启示

总之,在团队中协作并接触一系列药物管理场景,既能增强团队合作态度,也有可能提高绩效。基于积极的初步结果,已开始计划将这一经验推广到其他校区,并纳入更广泛的学生群体。

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