TeamSTEPPS结合真人模拟创伤救治情景在外科住院医师规范化培训中的应用

doi:10.3760/cma.j.cn115259-20200619-00935

中华医学教育杂志 ›› 2021, Vol. 41 ›› Issue (1): 53-57.DOI: 10.3760/cma.j.cn115259-20200619-00935

TeamSTEPPS结合真人模拟创伤救治情景在外科住院医师规范化培训中的应用

步涨¹, 路鑫¹, 张有斌¹, 周金懿², 祁加俊², 徐峰¹

¹苏州大学附属第一医院急诊科 215006;
²苏州大学附属第一医院教育培训处 215006

收稿日期:2020-06-19 出版日期:2021-01-01 发布日期:2021-01-25
通讯作者: 徐峰, Email: sz_xf@suda.edu.cn, 电话: 0512-67780298
基金资助:
江苏省医院协会医院管理创新研究基金资助项目(JSYGY-3-2019-155);苏州大学附属第一医院住院医师规范化培训研究基金资助项目(ZPKJ20190104)

The effect of TeamSTEPPS combined with all factor real-time simulation of trauma treatment scene training in the standardized training of surgical residents

Bu Zhang¹, Lu Xin¹, Zhang Youbin¹, Zhou Jinyi², Qi Jiajun², Xu Feng¹

¹Emergency Department, the First Affiliated Hospital of Soochow University, Suzhou 215006, China;
²Education and Training Division, the First Affiliated Hospital of Soochow University, Suzhou 215006, China

Received:2020-06-19 Online:2021-01-01 Published:2021-01-25
Contact: Xu Feng, Email:sz_xf@suda.edu.cn, Tel: 0086-512-67780298
Supported by:
Hospital Management Innovation Research Fund of Jiangsu Hospital Association(JSYGY-3-2019-155); Standardized Training of Resident Doctors in the Affiliated First Hospital of Soochow University(ZPKJ20190104)

摘要/Abstract

摘要： 目的探讨“提高医疗质量和患者安全的团队策略和工具包”(team strategies and tools to enhance performance and patient safety,TeamSTEPPS)结合真人模拟创伤救治情景在外科住院医师规范化培训中的应用效果。方法选择2019年1月至12月参加苏州大学附属第一医院急诊科轮转的120名外科住院医师规范化培训医师,以抽签形式平均分为24个团队,再将24个团队以随机数字表法分为试验组和对照组,每组12个团队。两组分别采用TeamSTEPPS结合真人模拟创伤救治情景教学及传统教学方法进行培训,采用团队应急评估措施量表(team emergency assessment measure,Team)评分系统评价教学效果。结果试验组学员的总分高于对照组[Team总分1分至10分的团队数:试验组0个、1个、1个、0个、3个、1个、2个、2个、1个、1个比对照组3个、2个、0个、3个、1个、1个、1个、1个、0个、0个],差异具有统计学意义(P＜0.05)。结论 TeamSTEPPS结合真人模拟创伤救治情景教学能有效提高外科住院医师创伤救治培训的效果,提高团队的救治能力。

关键词: 创伤, 外科, 住院医师规范化培训, 情景模拟, TeamSTEPPS

Abstract: Objective To investigate the effect of TeamSTEPPS combined with all factor real-time simulation of trauma treatment scene teaching in the standardized training of surgical residents compared with the traditional training method. Methods From January to December 2019, 120 trainees were randomly divided into the observation group and the control group with 5 in each team. The training was conducted by TeamSTEPPS combined with all factor real-time simulation of trauma treatment scene teaching and traditional teaching mode, and the effect of the training was evaluated by Team emergency assessment measure. Results The total score of the trainees in the observation group was significantly higher than that in the control group [the number of teams with total team score from 1 to 10: 0, 1, 1, 0, 3, 1, 2, 2, 1, and in the experimental group were 3, 2, 0, 3, 1, 1, 1, 1, 1, 1, 0, 0, 0], the difference was statistically significant(P＜0.05). Conclusions TeamSTEPPS combined with all elements of real-time simulation of trauma treatment scene teaching can effectively improve the effect of standardized training of surgical residents in terms of team work spirit and clinical performance.

Key words: Trauma, Surgery, Residents standardized training, Scene teaching, TeamSTEPPS

中图分类号:

R-05
R192.3

步涨, 路鑫, 张有斌, 周金懿, 祁加俊, 徐峰. TeamSTEPPS结合真人模拟创伤救治情景在外科住院医师规范化培训中的应用[J]. 中华医学教育杂志, 2021, 41(1): 53-57.

Bu Zhang, Lu Xin, Zhang Youbin, Zhou Jinyi, Qi Jiajun, Xu Feng. The effect of TeamSTEPPS combined with all factor real-time simulation of trauma treatment scene training in the standardized training of surgical residents[J]. Chinese Journal of Medical Education, 2021, 41(1): 53-57.

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TeamSTEPPS结合真人模拟创伤救治情景在外科住院医师规范化培训中的应用

The effect of TeamSTEPPS combined with all factor real-time simulation of trauma treatment scene training in the standardized training of surgical residents

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