Saura Llamas José, Astier Peña María Pilar, Puntes Felipe Blanca
Especialista en Medicina Familiar y Comunitaria, Exjefe de Estudios de la Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de las Áreas V, VI y IX de Murcia, Servicio Murciano de Salud, IMIB - Arrixaca (Instituto Murciano de Investigación Biomédica), Murcia, España; Grupo de Seguridad del Paciente de semFYC.
Grupo de Seguridad del Paciente de semFYC; CS Universitas, Zaragoza, Servicio Aragonés de Salud, Universidad de Zaragoza, GIBA-IIS Aragón.
Aten Primaria. 2021 Dec;53 Suppl 1(Suppl 1):102199. doi: 10.1016/j.aprim.2021.102199.
This narrative review manuscript aims to raise the difficulties and opportunities for patient safety in specialised healthcare training considering undergraduate, postgraduate, specialist and continuing education, even during the COVID-19 pandemic. It also suggests some proposals for carrying it out. It very briefly discusses this specific training and its current situation in primary care. Highlighting that patient safety is a need, an area of competence and a training opportunity for residents. It establishes the general framework of patient safety in primary care in the document "7 steps for Patient Safety in Primary Care", stating the need for a systemic approach. It highlights the elaboration and presentation of cases on clinical errors as the most frequent training strategy. The real-life clinical scenarios relate to difficult patients, critical incidents and bioethics issues in professional practice. These scenarios have as common characteristics, the fact to produce difficulties and suffering for all the actors involved. Several instruments for training in patient safety are also included. The medium-term goal is to consolidate clinical safety in specialised healthcare training. Finally, an analysis is made of the impact of the pandemic on patient safety training, particularly on specialised healthcare training and some proposals are recommended on how to carry out safe teaching in the times of the COVID-19 pandemic.
本叙述性综述手稿旨在探讨在包括本科、研究生、专科和继续教育在内的专业医疗培训中,甚至在新冠疫情期间,患者安全所面临的困难和机遇。它还提出了一些实施建议。它简要讨论了这种特定培训及其在初级保健中的现状。强调患者安全是住院医师的一项需求、能力领域和培训机会。它在《初级保健患者安全七步》文件中确立了初级保健中患者安全的总体框架,指出需要采用系统方法。它强调将临床错误案例的编写和展示作为最常见的培训策略。现实生活中的临床场景涉及专业实践中的难缠患者、关键事件和生物伦理问题。这些场景的共同特点是,会给所有相关人员带来困难和痛苦。还包括几种患者安全培训工具。中期目标是在专业医疗培训中巩固临床安全。最后,分析了疫情对患者安全培训的影响,特别是对专业医疗培训的影响,并就如何在新冠疫情期间开展安全教学提出了一些建议。