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跨专业教育干预措施对提高医疗保健专业人员的患者安全:范围综述。

Interprofessional education interventions for healthcare professionals to improve patient safety: a scoping review.

机构信息

Department of Neurosurgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.

Department of Nursing, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

出版信息

Med Educ Online. 2024 Dec 31;29(1):2391631. doi: 10.1080/10872981.2024.2391631. Epub 2024 Aug 27.

Abstract

BACKGROUND

Patient safety incidents, such as adverse events and medical errors, are often caused by ineffective communication and collaboration. Interprofessional education is an effective method for promoting collaborative competencies and has attracted great attention in the context of patient safety. However, the effectiveness of interprofessional education interventions on patient safety remains unclear. This scoping review aimed to synthesize existing studies that focused on improving patient safety through interprofessional education interventions for healthcare professionals.

METHODS

Six databases, including Medline (via PubMed), Embase, Cochrane Library, CINAHL (via EBSCO), Scopus and Web of Science, were last searched on 20 December 2023. The search records were independently screened by two researchers. The Joanna Briggs Institute Critical Appraisal Tool for Quasi-Experimental Studies was used for quality appraisal. The data were extracted by two researchers and cross-checked. Finally, a narrative synthesis was performed. The protocol for this scoping review was not registered.

RESULTS

Thirteen quasi-experimental studies with moderate methodological quality were included. The results revealed that the characteristics of current interprofessional education interventions were diverse, with a strong interest in simulation-based learning strategies and face-to-face delivery methods. Several studies did not assess the reduction in patient safety incidents involving adverse events or medical errors, relying instead on the improvements in healthcare professionals' knowledge, attitude or practice related to patient safety issues. Less than half of the studies examined team performance, based primarily on the self-evaluation of healthcare professionals and observer-based evaluation. There is a gap in applying newer tools such as peer evaluation and team-based objective structured clinical evaluation.

CONCLUSION

Additional evidence on interprofessional education interventions for improving patient safety is needed by further research, especially randomized controlled trials. Facilitating simulation-based interprofessional education, collecting more objective outcomes of patient safety and selecting suitable tools to evaluate teamwork performance may be the focus of future studies.

摘要

背景

患者安全事件,如不良事件和医疗差错,通常是由沟通和协作无效引起的。跨专业教育是促进协作能力的有效方法,在患者安全方面引起了极大关注。然而,跨专业教育干预对患者安全的有效性仍不清楚。本范围综述旨在综合现有研究,这些研究侧重于通过跨专业教育干预来提高医疗保健专业人员的患者安全。

方法

2023 年 12 月 20 日最后一次在六个数据库中搜索,包括 Medline(通过 PubMed)、Embase、Cochrane 图书馆、CINAHL(通过 EBSCO)、Scopus 和 Web of Science。两名研究人员独立筛选检索记录。使用 Joanna Briggs 研究所准实验研究批判性评价工具进行质量评估。两名研究人员提取数据并交叉核对。最后进行叙述性综合。本范围综述的方案未注册。

结果

纳入了 13 项具有中等方法学质量的准实验研究。结果表明,当前跨专业教育干预的特点是多样化,对基于模拟的学习策略和面对面的教学方法非常感兴趣。一些研究没有评估涉及不良事件或医疗差错的患者安全事件的减少,而是依赖于医疗保健专业人员与患者安全问题相关的知识、态度或实践的改善。不到一半的研究基于医疗保健专业人员的自我评估和观察评估,考察了团队绩效。在应用同伴评估和基于团队的客观结构化临床评估等较新工具方面存在差距。

结论

需要进一步研究提供更多关于改善患者安全的跨专业教育干预的证据,特别是随机对照试验。促进基于模拟的跨专业教育,收集更多患者安全的客观结果,并选择合适的工具来评估团队绩效,可能是未来研究的重点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cfe/11351354/58c916223520/ZMEO_A_2391631_F0001_OC.jpg

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