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利用临床模拟研究如何提高医疗保健的质量和安全性。

Using clinical simulation to study how to improve quality and safety in healthcare.

作者信息

Lamé Guillaume, Dixon-Woods Mary

机构信息

THIS Institute (The Healthcare Improvement Studies Institute), University of Cambridge, Cambridge, UK.

出版信息

BMJ Simul Technol Enhanc Learn. 2020 Mar 4;6(2):87-94. doi: 10.1136/bmjstel-2018-000370. Epub 2018 Sep 29.

Abstract

Simulation can offer researchers access to events that can otherwise not be directly observed, and in a safe and controlled environment. How to use simulation for the study of how to improve the quality and safety of healthcare remains underexplored, however. We offer an overview of simulation-based research (SBR) in this context. Building on theory and examples, we show how SBR can be deployed and which study designs it may support. We discuss the challenges of simulation for healthcare improvement research and how they can be tackled. We conclude that using simulation in the study of healthcare improvement is a promising approach that could usefully complement established research methods.

摘要

模拟可以让研究人员接触到那些在其他情况下无法直接观察到的事件,并且是在安全且可控的环境中。然而,如何将模拟用于研究如何提高医疗保健的质量和安全性,这一点仍未得到充分探索。在此背景下,我们对基于模拟的研究(SBR)进行概述。基于理论和实例,我们展示了如何部署SBR以及它可能支持哪些研究设计。我们讨论了模拟在医疗保健改进研究中面临的挑战以及如何应对这些挑战。我们得出结论,在医疗保健改进研究中使用模拟是一种很有前景的方法,它可以有效地补充现有的研究方法。

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