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耳鼻喉科医生通过使用模拟技术来提高气道管理中的患者安全。

Using Simulation Technology to Improve Patient Safety in Airway Management by Practicing Otolaryngologists.

作者信息

Sommerfeld Connor, Scott Grace, Fung Kevin, Hp Nguyen Lily, Viallet Norbert, Deutsch Ellen, Gooi Adrian

机构信息

University of Alberta.

Northern Ontario School of Medicine.

出版信息

Stud Health Technol Inform. 2019;257:393-398.

Abstract

OBJECTIVE

Simulation technology provides a safe environment to learn crisis resource management in stressful clinical scenarios, such as the acute airway. While a number of surgical simulation studies have assessed trainees, there remains a paucity of data on simulation benefits for practicing physicians. The objective of this study was to investigate the impact of a simulation symposium on airway management for practicing otolaryngologists.

METHODS

Questionnaires (5-point Likert and open-answer questions) and interviews were distributed and conducted at a simulation symposium on airway management held at an annual meeting.

RESULTS

The majority of participants had no prior experience in simulation (62.5%). The data suggested a strong increase in comfort with airway management scenarios (2.93 to 4.09 (p<0.001)). Participants reported the symposium as relevant (4.68) and useful (4.67), with increased confidence about their knowledge of crisis resource management and team training (4.53). Qualitative data suggested great educational value for technical skills and communication strategies.

CONCLUSION

Simulation with feedback may provide an opportunity for the practicing otolaryngologist to fulfill Continuing Medical Education and Professional Development requirements. This symposium allowed practicing otolaryngologists, including those in the community, to learn, develop, and refresh technical and communication skills while fulfilling certification requirements.

摘要

目的

模拟技术为在诸如急性气道等压力较大的临床场景中学习危机资源管理提供了一个安全的环境。虽然已有多项外科模拟研究对学员进行了评估,但关于模拟对执业医师的益处的数据仍然匮乏。本研究的目的是调查模拟研讨会对执业耳鼻喉科医生气道管理的影响。

方法

在一次年会举办的气道管理模拟研讨会上发放并进行了问卷调查(5点李克特量表和开放式问题)及访谈。

结果

大多数参与者此前没有模拟经验(62.5%)。数据表明,参与者对气道管理场景的舒适度大幅提高(从2.93提高到4.09(p<0.001))。参与者认为该研讨会相关(4.68)且有用(4.67),对危机资源管理知识和团队培训的信心增强(4.53)。定性数据表明,该研讨会在技术技能和沟通策略方面具有很大的教育价值。

结论

有反馈的模拟可为执业耳鼻喉科医生提供满足继续医学教育和专业发展要求的机会。本次研讨会使包括社区医生在内的执业耳鼻喉科医生在满足认证要求的同时,能够学习、提升和更新技术及沟通技能。

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