为了提升大型公立医院应对突发公共事件的应急救援能力,2025年3至4月,中南大学湘雅二医院基于库伯体验式学习理论,以国家和湖南省相关政策、制度要求为依据,设计了“演练-复盘-培训-再演练”的12学时应急演练培训,综合运用多种方法在132名医务人员(以下简称学员)中实施,并采用问卷调查与专家考核评估培训效果。123名(93.2%)学员认为通过培训更好地掌握了急危重症快速处置流程,126名(95.5%)学员认为培训提升了团队协作能力,125名(94.7%)学员认为培训提升了应急决策质量与操作规范性,125名(94.7%)学员认为培训对个人实际救治能力提升有所帮助。128名(97.0%)学员认为培训内容贴合实际,124名(93.9%)学员认为讲师讲解清晰,119名(90.2%)学员认为演练场景真实。再次演练问题数量由首次演练的34个降至9个,其中指挥与协调、物资与保障、场地与人员类问题全部消除。基于库伯体验式学习理论的应急演练培训在提升个体应急操作能力的同时,提高了医院团队协作能力,有助于在短时间内提升大型综合医院应对突发公共事件的应急救援能力,为大型公立医院相关培训提供了有益的参考。

To enhance the emergency response capabilities of large public hospitals in addressing public emergencies, the Second Xiangya Hospital of Central South University designed a 12-hour emergency exercise program themed ″Exercise-After-action Review-Training-Re-exercise″ based on Kolb's Experiential Learning Theory (ELT) and in accordance with relevant national and Hunan provincial policies and institutional requirements during March and April 2025. A combination of multiple methods was adopted for implementation among 132 medical staff (referred to as ″trainees″), and the exercise effect was evaluated through questionnaire and expert assessments. Primary outcomes indicated that 123 (93.2%) trainees reported a better grasp of rapid management process for critical and acute illnesses; 126 (95.5%) trainees demonstrated improved interprofessional teamwork competence; 125 (94.7%) trainees showed enhanced emergency decision-making quality and operational compliance; and 125 (94.7%) trainees confirmed that they benefited from the exercise in improving practical treatment capabilities. Secondary outcomes related to training satisfaction revealed that 128 (97.0%) trainees found the exercise content closely aligned with clinical practice; 124 (93.9%) trainees reported that the instructors' explanations were clear; and 119 (90.2%) trainees recognized the high-fidelity of the scenarios. Notably, the number of problems identified in the re-exercise decreased from 34 in the initial exercise to 9, among which issues related to command and coordination, logistic support, and venue-personnel arrangement were eliminated. Emergency exercise based on Kolb's ELT not only improves individual emergency operational capabilities but also optimizes hospital interprofessional teamwork. It facilitates the rapid enhancement of large public hospitals' emergency response capability in dealing with public emergencies, thus to serve as a reference for exercise initiatives in large public hospitals.