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使用教育多媒体对支气管镜检查后知识、技能及减少医疗差错的影响

Impact of Using Educational Multimedia on Knowledge, Skill, and Reduction of Medical Error Following Bronchoscopy.

作者信息

Kiani Arda, Akbarilakeh Maryam, Shahmorad Maryam, Abedini Atefeh, Emami Habib

机构信息

Tracheal Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Educational Development Center, Guilan University of Medical Sciences, Rasht, Iran.

出版信息

Tanaffos. 2023 Feb;22(2):262-267.

Abstract

BACKGROUND

Achieving procedural skills is one of the pillars of health higher education which is in line with the social responsibility of medical education. Since it is not possible to encounter important cases in bronchoscopy during the training course, the common cases that the students encounter in their future work environment were prepared as an educational video. Therefore, the purpose of this study was to find out the impact of using bronchoscopy educational video intervention on medical assistants' knowledge, skill, and medical error comparing it with the traditional method at Dr. Masih Daneshvari Hospital.

MATERIALS AND METHODS

In this experimental study, two groups were randomly assigned: the experimental and the control. Each one consists of 15 participants. The first group used mannequins (traditional method) and the second used multimedia as the experimental group. Both groups were evaluated by pre and post-tests. Multiple choices (MCQs) were given to evaluate the knowledge and a checklist for skills. A comparison of the impact of intervention before and after education in both groups was statistically analyzed using the independent t-test.

RESULTS

There were statistically significant differences between the experimental group and the control group at a significance level of 0.042 for the skill. An average increase of 3 points was observed in the experiment group, while the control group increased by 1.4 points. No significant difference was seen for knowledge. The number of patients with pneumothorax was also decreased.

CONCLUSION

Results showed that the multimedia training method effectively promotes the assistants' skills and reduces medical errors following bronchoscopy Administration. It is recommended to use educational videos (multimedia) to improve assistants' skills. It is suggested to apply the new model of education rather than sticking to the traditional one.

摘要

背景

掌握操作技能是高等医学教育的支柱之一,这与医学教育的社会责任相一致。由于在培训课程中不可能遇到支气管镜检查中的重要病例,因此将学生在未来工作环境中遇到的常见病例制作成教育视频。因此,本研究的目的是在马西赫·达内什瓦里医院,比较支气管镜检查教育视频干预与传统方法对医学助理的知识、技能和医疗差错的影响。

材料与方法

在本实验研究中,随机分为两组:实验组和对照组。每组由15名参与者组成。第一组使用人体模型(传统方法),第二组使用多媒体作为实验组。两组均进行了课前和课后测试。通过多项选择题(MCQs)评估知识,通过检查表评估技能。使用独立t检验对两组教育前后干预效果进行统计学比较。

结果

实验组和对照组在技能方面存在统计学显著差异,显著性水平为0.042。实验组平均提高3分,而对照组提高1.4分。在知识方面未观察到显著差异。气胸患者的数量也有所减少。

结论

结果表明,多媒体培训方法有效地提高了助手的技能,并减少了支气管镜检查后的医疗差错。建议使用教育视频(多媒体)来提高助手的技能。建议采用新的教育模式,而不是拘泥于传统模式。

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本文引用的文献

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Pneumothorax after transbronchial needle biopsy.经支气管针吸活检后发生气胸。
J Thorac Dis. 2014 Oct;6(Suppl 4):S427-34. doi: 10.3978/j.issn.2072-1439.2014.08.37.

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