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英国一所牙科学校牙科本科学生对患者安全的态度。

Attitudes of dental undergraduate students towards patient safety in a UK dental school.

作者信息

Palmer Julia C, Blanchard Jessica R, Jones Judith, Bailey Edmund

机构信息

Homerton University Hospital, London, UK.

Department of Oral Surgery, Barts and The London School of Medicine and Dentistry, QMUL Dental Institute, London, UK.

出版信息

Eur J Dent Educ. 2019 May;23(2):127-134. doi: 10.1111/eje.12411. Epub 2019 Jan 21.

Abstract

OBJECTIVES

Patient safety is an important issue in health care. In the United Kingdom, wrong site tooth extraction contributes to a significant proportion of adverse or harmful events, coined "never events." Therefore, patient safety within the field of dentistry is of paramount importance. This novel study aims to explore the teaching of patient safety to undergraduate dental students and their current attitudes to the subject.

METHODS

Focus groups were held at Barts' and The London School of Medicine and Dentistry, QMUL in 2018 to ascertain the views and opinions of thirteen third-year dental undergraduate students.

RESULTS

Thematic analysis was performed on verbatim transcripts. Key themes were highlighted. All students could provide a complete definition of patient safety and of "never events," with examples. There was a strong emphasis upon awareness of one's own competence and the need for effective communication to maintain patient safety. Small group teaching and the requirement for standardization of teaching were encouraged. The challenge of incorporation of the patient safety concept into the clinical routine without causing repetition during teaching was highlighted.

CONCLUSION

The results show a positive attitude towards the concept and the teaching of patient safety. All students understood patient safety concepts and techniques used to prevent adverse or harmful events. This study proves that teaching on the subject was thought to be of value. It is crucial that the teaching of patient safety is introduced and built upon within the early years of dental undergraduate training so that its practice becomes second nature.

摘要

目标

患者安全是医疗保健中的一个重要问题。在英国,错误部位拔牙在很大一部分不良或有害事件中占比显著,这些事件被称为“绝不应发生的事件”。因此,牙科领域的患者安全至关重要。这项新颖的研究旨在探讨本科牙科学生的患者安全教育情况以及他们目前对该主题的态度。

方法

2018年在伦敦大学玛丽皇后学院巴茨和伦敦医学院及牙科学院举行了焦点小组讨论,以确定13名三年级牙科本科生的观点和意见。

结果

对逐字记录进行了主题分析。突出了关键主题。所有学生都能给出患者安全和“绝不应发生的事件”的完整定义,并举例说明。强烈强调要意识到自身能力以及有效沟通对维护患者安全的必要性。鼓励小组教学以及教学标准化的要求。强调了将患者安全概念融入临床常规而又不在教学中造成重复的挑战。

结论

结果显示出对患者安全概念及教学的积极态度。所有学生都理解用于预防不良或有害事件的患者安全概念和技术。这项研究证明该主题的教学被认为是有价值的。至关重要的是,在牙科本科培训的早期阶段就引入并巩固患者安全教育,以便其实践成为本能。

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