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Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study

机译:医疗错误的动画故事作为教学本科患者安全的手段:评估研究

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Storytelling is a powerful form of communication which can improve attention and lead to lasting behavioural changes. Addressing the need to incorporate patient safety teaching into undergraduate medical curricula, it was hypothesized that medical students could benefit from hearing clinician stories of medical error. The medium of animation was considered to be a potentially engaging means of presenting stories of error to a large audience. Three animated videos were developed to accompany audio recordings of junior doctors describing their experiences of a serious incident or near-miss event. The videos were delivered to 200 final-year medical students with a subsequent large-group discussion directed at understanding contributory factors. An evaluative questionnaire exploring learners reactions and modification of beliefs and perception was distributed. The questionnaire included questions rated on a modified Likert scale and a free-text box. A mixed-methods analysis was conducted with descriptive statistics and qualitative content analysis of the free-text responses. Of the 200 students who attended, 104 completed the questionnaire and 83 completed free-text feedback. Most students responded positively to hearing stories of medical error and felt that the animated videos improved their engagement while the voice recordings helped bring the cases to life. The majority of students agreed the session would impact on their future practice. This pilot study confirmed that undergraduate students consider animated, personal stories of medical error an effective, engaging means of learning about patient safety. Longitudinal studies are required to confirm if measurable behaviour change is achieved.
机译:讲故事是一种强大的沟通形式,可以提高关注并导致持久的行为变化。解决需要将患者安全教学纳入本科医疗课程的必要性,并假设医学学生可以从听力诊所的医学错误故事中受益。动画媒介被认为是一个潜在的参与手段,用于向大型受众呈现错误的故事。开发了三个动画视频,伴随着初级医生的音频录制,描述了他们严重事件或近乎偏出事件的经历。该视频被交付给200个最后一年的医学生,随后的大型讨论,目的是在理解贡献因素。分布了一项评估问卷探索学习者反应和对信仰和感知的修改。调查问卷包括修改后李克特级和自由文本框的问题。进行了混合方法分析,采用了对自由文本反应的描述性统计和定性内容分析进行的。在参加的200名学生中,104完成调查问卷,83个完成的自由文本反馈。大多数学生对听证案件的故事带来了积极的回应,并认为动画视频改善了他们的参与,而录音有助于将案例带到生命。大多数学生都同意会议会对未来的惯例产生影响。这项试点研究证实,本科生考虑了医疗误差的动画,有效,参与患者安全的有效手段。需要纵向研究以确认是否达到可测量的行为变化。

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