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一种基于人为因素和系统思维的兽医患者安全教育方法:为何、是什么以及如何?

A Human Factors and Systems-Thinking Approach to Veterinary Patient Safety Education: Why, What, and How?

作者信息

Cathcart Emma J, Russell Elly, Schortz Lisen, Mossop Liz H

机构信息

Veterinary Risk Analyst, The Veterinary Defence Society, Knutsford, UK; Edinburgh Medical School: Clinical Sciences, University of Edinburgh, Edinburgh, EH16 4SB United Kingdom.

Quality Improvement Manager, Vets 4 Pets, Chester House, Handforth, Cheshire, SK9 3TJ United Kingdom.

出版信息

J Vet Med Educ. 2025 Jun;52(3):330-338. doi: 10.3138/jvme-2024-0009. Epub 2024 May 24.

DOI:10.3138/jvme-2024-0009
PMID:39504189
Abstract

Preparing graduates to practice safely in today's increasingly complex veterinary workplaces is a key aim for veterinary educators. This requires embedding veterinary patient safety concepts into already full curricula. This teaching tip explores the benefits of incorporating human factors and systems-thinking principles into the design and delivery of veterinary patient safety education, showing how these can inform both what is taught and how. We explore what taking a human factors approach to veterinary patient safety education means, inviting educators to rethink not just curricular content but the whole approach to delivery. Advocating for the adoption of a systems-thinking-informed approach to curriculum design, we present a two-stage curriculum mapping process to support educators to embed core human factors principles as a way of thinking and doing for learners and faculty alike. Learning theories and educational design that align with human factors principles promote participatory methods and encourage collaborative experiential learning, critical thinking, and authentic application of knowledge and skills. Educators should explore opportunities presented by interprofessional education and workplace-based learning for practical application of these principles. Barriers to an integrated human factors-based patient safety curriculum include inconsistent terminology and understanding, significant faculty development requirements, and assessment challenges associated with existing regulatory and licensing requirements. Practical approaches to addressing these barriers are discussed. The recommendations outlined for the design and delivery of veterinary patient safety curricula will help ensure that institutions develop graduates that are effectively prepared for the complexity they will meet in the veterinary workplace, leading to improved patient safety and overall workplace well-being.

摘要

让毕业生做好准备,在如今日益复杂的兽医工作场所安全执业,是兽医教育工作者的一项关键目标。这需要将兽医患者安全概念融入本就充实的课程体系中。本教学提示探讨了将人为因素和系统思维原则纳入兽医患者安全教育的设计与实施中的益处,展示了这些原则如何为教学内容及教学方式提供指导。我们探讨采用人为因素方法进行兽医患者安全教育意味着什么,邀请教育工作者不仅要重新思考课程内容,还要重新思考整个教学方法。我们倡导采用以系统思维为导向的课程设计方法,提出了一个两阶段的课程映射过程,以支持教育工作者将核心人为因素原则作为一种思维和行为方式,融入学习者和教师的教学中。与人为因素原则相一致的学习理论和教学设计提倡采用参与式方法,鼓励协作式体验学习、批判性思维以及知识和技能的实际应用。教育工作者应探索跨专业教育和基于工作场所的学习所带来的机会,以便实际应用这些原则。基于人为因素的综合患者安全课程存在一些障碍,包括术语和理解不一致、教师发展需求巨大以及与现有监管和许可要求相关的评估挑战。本文讨论了应对这些障碍的实际方法。为兽医患者安全课程的设计和实施概述的建议将有助于确保各院校培养出的毕业生能够有效地应对他们在兽医工作场所将会遇到的复杂情况,从而提高患者安全和整体工作场所的福祉。

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