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本科和研究生医学教育中的质量改进和患者安全课程的发展:范围综述。

The Evolving Curriculum in Quality Improvement and Patient Safety in Undergraduate and Graduate Medical Education: A Scoping Review.

机构信息

Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA.

Jefferson College of Population Health, Thomas Jefferson University, Philadelphia, PA.

出版信息

Am J Med Qual. 2022;37(6):545-556. doi: 10.1097/JMQ.0000000000000084. Epub 2022 Oct 7.

DOI:10.1097/JMQ.0000000000000084
PMID:36201484
Abstract

Quality Improvement and Patient Safety (QIPS) has become an increasingly important area of focus within undergraduate and graduate medical education. A variety of different QIPS curriculums have been developed, but standardization and effectiveness of these curriculums is largely unknown. The authors conducted a scoping review to explore the status of undergraduate and graduate nondegree QIPS curriculum in the United States. A scoping review was performed using The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) model as a guide. Two databases were screened from January 2019 to March 2022 to identify relevant articles. Forty-seven articles met eligibility criteria, with most articles (n = 38) focused on graduate medical education. Of those 38, 86.8% (33/38) were developed as curriculum specific to a particular specialty. The article highlights similarities and differences in structure, evaluation metrics, and outcomes, and subsequently offers insight into curriculum components that should help guide standardization of successful curriculum development moving forward.

摘要

质量改进和患者安全(QIPS)已成为本科和研究生医学教育中越来越重要的关注领域。已经开发了各种不同的 QIPS 课程,但这些课程的标准化和有效性在很大程度上尚不清楚。作者进行了范围界定审查,以探讨美国本科和研究生非学位 QIPS 课程的现状。范围界定审查使用系统评价和荟萃分析的首选报告项目(PRISMA)模型作为指南。从 2019 年 1 月到 2022 年 3 月,筛选了两个数据库以确定相关文章。有 47 篇文章符合入选标准,其中大多数(n=38)文章专注于研究生医学教育。在这 38 篇文章中,86.8%(33/38)是针对特定专业的特定课程开发的。本文重点介绍了结构、评估指标和结果的相似点和不同点,并随后深入了解课程组成部分,这有助于指导成功的课程开发标准化,为未来的课程发展提供方向。

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