Richter Annika, Chaberny Iris F, Surikow Alexander, Schock Bettina
University Hospital Leipzig, Centre for Infection Medicine (ZINF), Institute of Hygiene, Hospital Epidemiology and Environmental Health, Leipzig, Germany.
GMS J Med Educ. 2019 Mar 15;36(2):Doc15. doi: 10.3205/zma001223. eCollection 2019.
Insufficient hygiene knowledge increases the risk of hospital-acquired infections through insufficient compliance and therefore poses a potential risk to patient safety. Therefore in 2015 the teaching project "OT Training" was introduced at the Faculty of Medicine (MF) Leipzig and a restructuring of the series of lectures and practical training on the topic of "Hygiene" was developed and integrated in the medical study curriculum. The "OT Training" in the pre-clinical component and the didactic restructuring of the hygiene workshops in the hospital semester were comprehensively developed by means of the currently applicable learning objective catalogues and have already been tested in existing teaching (per year N=320 students; 2015-17: N= 960). The "OT Training" and the series of lectures and practical training are evaluated externally by the Faculty of Medicine. In addition a self-developed questionnaire (for "OT Training") and an internal evaluation (for practical stations as part of the practical training series) were used. Overall the "OT Training" was evaluated as "very good" (N=492; RR=51%). Alongside the high importance of hygiene in the hospital and operating area (Overall=97% and Overall=98%) the salient feature of hygiene for self-protection and in particular for patient safety was also recognised at an early stage. Through the series of lectures and practical training which were also evaluated positively, the self-reported level of knowledge and the importance of hygiene for the students improved significantly (level of knowledge M=2.8 vs. M=3.9; p>0.000; importance M=3.3 vs. M=4.2; p>0.000; 5 point Likert scale; t-Test). Hygiene errors constitute a potential risk to patients. Consequently the early and continuous focus on hygiene in student education makes a contribution to increasing patient safety in the healthcare sector.
卫生知识不足会因依从性不够而增加医院感染的风险，从而对患者安全构成潜在威胁。因此，2015年，莱比锡医学院（MF）引入了“OT培训”教学项目，并对“卫生”主题的系列讲座和实践培训进行了重新设计，将其纳入医学学习课程。临床前部分的“OT培训”以及医院学期卫生工作坊的教学重组是根据当前适用的学习目标目录全面开展的，并且已经在现有的教学中进行了测试（每年N = 320名学生；2015 - 2017年：N = 960名）。“OT培训”以及系列讲座和实践培训由医学院进行外部评估。此外，还使用了自行开发的问卷（针对“OT培训”）和内部评估（针对作为实践培训系列一部分的实践站）。总体而言，“OT培训”被评为“非常好”（N = 492；RR = 51%）。除了卫生在医院和手术区域的高度重要性（总体分别为97%和98%）之外，卫生对自我保护尤其是对患者安全的显著特征也在早期得到了认可。通过同样得到积极评价的系列讲座和实践培训，学生自我报告的卫生知识水平和对卫生重要性的认识有了显著提高（知识水平M = 2.8对M = 3.9；p>0.000；重要性M = 3.3对M = 4.2；p>0.000；5点李克特量表；t检验）。卫生失误对患者构成潜在风险。因此，在学生教育中尽早并持续关注卫生有助于提高医疗保健部门的患者安全。
