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人为因素:影响每个人,涉及每个人。

Human Factors: Affect Everyone, Involve Everyone.

作者信息

Alcock Amy, Addy Charlotte, Al-Mudhaffar Munawar, Jenkins Marianne, Cotter Melanie, Edwards Martin

机构信息

University Hospital of Wales, Cardiff & Vale University Health Board, Cardiff, UK.

出版信息

Clin Teach. 2025 Oct;22(5):e70165. doi: 10.1111/tct.70165.

Abstract

BACKGROUND

The NHS Patient Safety Syllabus highlights human factors as a core education theme for all healthcare staff. Despite this, no multidisciplinary Human Factors courses in NHS Wales have previously been reported.

APPROACH

A multidisciplinary Human Factors course was created and delivered by a faculty with varied clinical and teaching backgrounds. The 1-day course included an introductory lecture, themed workshops and discussion about practical applications using pre-filmed simulations. A pre-course handbook and online platform facilitated consolidation of the learning.

EVALUATION

To date, we have run three courses with a total of 83 attendees: 38 doctors, 34 nurses, three managers, three midwives, two physician associates, one dentist, one pharmacist and one physiotherapist. All attendees were requested to complete pre-course and post-course questionnaires to ascertain their level of learning and knowledge gained. The majority, 62.0% (49/79) reported having minimal or no prior human factors teaching, clearly identifying the need for education. Confidence about human factors increased by 65.2% (17.7% [14/79] to 82.9% [68/82]), and awareness of the impact of human factors increased by 39.5% (54.4% [43/79] to 93.9% [77/82]) following the course. Qualitative feedback suggested that the course was well delivered, engaging and interesting. Comments also showed the learning would help attendees improve their clinical practice by sharing their knowledge.

IMPLICATIONS

This multidisciplinary pan-speciality Human Factors course has proven its need and value for all healthcare professionals. Next steps include increasing the number of courses delivered and widening the reach across the Health Board as well as gathering evidence on the patient safety implications.

摘要

背景

英国国家医疗服务体系(NHS)患者安全大纲将人为因素列为所有医护人员核心教育主题。尽管如此,此前尚无关于威尔士NHS多学科人为因素课程的报道。

方法

创建了一门多学科人为因素课程,并由具有不同临床和教学背景的教员授课。为期1天的课程包括入门讲座、主题研讨会以及使用预录制模拟进行的实际应用讨论。课前手册和在线平台有助于巩固学习。

评估

迄今为止,我们已举办了三期课程,共有83名学员参加:38名医生、34名护士、3名管理人员、3名助产士、2名医师助理、1名牙医、1名药剂师和1名物理治疗师。所有学员都被要求完成课前和课后问卷,以确定他们的学习水平和所获知识。大多数人,即62.0%(49/79)报告称之前很少或没有接受过人为因素方面的教学,这清楚表明了教育的必要性。课程结束后,对人为因素的信心提高了65.2%(从17.7%[14/79]升至82.9%[68/82]),对人为因素影响的认识提高了39.5%(从54.4%[43/79]升至93.9%[77/82])。定性反馈表明该课程授课良好、引人入胜且有趣。评论还显示,所学内容将帮助学员通过分享知识来改进临床实践。

启示

这门多学科全专业人为因素课程已证明其对所有医疗专业人员的必要性和价值。下一步包括增加课程举办数量、扩大在卫生委员会的覆盖范围以及收集有关患者安全影响的证据。

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