Interprofessional education interventions for healthcare professionals to improve patient safety: a scoping review.

IF 3.1 2区 医学 Q1 EDUCATION & EDUCATIONAL RESEARCH Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-08-27 DOI:10.1080/10872981.2024.2391631
Yan Jiang, Yan Cai, Xue Zhang, Cong Wang
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Abstract

Background: Patient safety incidents, such as adverse events and medical errors, are often caused by ineffective communication and collaboration. Interprofessional education is an effective method for promoting collaborative competencies and has attracted great attention in the context of patient safety. However, the effectiveness of interprofessional education interventions on patient safety remains unclear. This scoping review aimed to synthesize existing studies that focused on improving patient safety through interprofessional education interventions for healthcare professionals.

Methods: Six databases, including Medline (via PubMed), Embase, Cochrane Library, CINAHL (via EBSCO), Scopus and Web of Science, were last searched on 20 December 2023. The search records were independently screened by two researchers. The Joanna Briggs Institute Critical Appraisal Tool for Quasi-Experimental Studies was used for quality appraisal. The data were extracted by two researchers and cross-checked. Finally, a narrative synthesis was performed. The protocol for this scoping review was not registered.

Results: Thirteen quasi-experimental studies with moderate methodological quality were included. The results revealed that the characteristics of current interprofessional education interventions were diverse, with a strong interest in simulation-based learning strategies and face-to-face delivery methods. Several studies did not assess the reduction in patient safety incidents involving adverse events or medical errors, relying instead on the improvements in healthcare professionals' knowledge, attitude or practice related to patient safety issues. Less than half of the studies examined team performance, based primarily on the self-evaluation of healthcare professionals and observer-based evaluation. There is a gap in applying newer tools such as peer evaluation and team-based objective structured clinical evaluation.

Conclusion: Additional evidence on interprofessional education interventions for improving patient safety is needed by further research, especially randomized controlled trials. Facilitating simulation-based interprofessional education, collecting more objective outcomes of patient safety and selecting suitable tools to evaluate teamwork performance may be the focus of future studies.

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针对医疗保健专业人员的跨专业教育干预措施,以改善患者安全:范围界定综述。
背景:不良事件和医疗事故等患者安全事件往往是由无效沟通和协作造成的。跨专业教育是促进协作能力的有效方法,在患者安全方面备受关注。然而,跨专业教育干预对患者安全的影响仍不明确。本范围综述旨在综合现有的研究,这些研究侧重于通过对医护人员进行跨专业教育干预来改善患者安全:2023 年 12 月 20 日对 Medline(通过 PubMed)、Embase、Cochrane Library、CINAHL(通过 EBSCO)、Scopus 和 Web of Science 等六个数据库进行了最后一次检索。搜索记录由两名研究人员独立筛选。乔安娜-布里格斯研究所(Joanna Briggs Institute)的 "准实验研究批判性评估工具"(Critical Appraisal Tool for Quasi-Experimental Studies)用于质量评估。两名研究人员提取数据并进行交叉核对。最后,进行叙述性综合。本次范围界定综述的方案未注册:共纳入 13 项方法学质量中等的准实验研究。结果表明,当前跨专业教育干预措施的特点多种多样,其中以模拟学习策略和面对面授课方法最受关注。有几项研究没有评估涉及不良事件或医疗差错的患者安全事故的减少情况,而是依赖于医护人员在患者安全问题相关知识、态度或实践方面的改进情况。只有不到一半的研究考察了团队的表现,主要基于医护人员的自我评价和基于观察者的评价。在应用同行评价和基于团队的客观结构化临床评价等新工具方面还存在差距:结论:需要通过进一步研究,特别是随机对照试验,获得更多有关跨专业教育干预措施的证据,以改善患者安全。促进以模拟为基础的跨专业教育、收集更多有关患者安全的客观结果以及选择合适的工具来评估团队合作绩效,可能是未来研究的重点。
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来源期刊
Medical Education Online
Medical Education Online EDUCATION & EDUCATIONAL RESEARCH-
CiteScore
6.00
自引率
2.20%
发文量
97
审稿时长
8 weeks
期刊介绍: Medical Education Online is an open access journal of health care education, publishing peer-reviewed research, perspectives, reviews, and early documentation of new ideas and trends. Medical Education Online aims to disseminate information on the education and training of physicians and other health care professionals. Manuscripts may address any aspect of health care education and training, including, but not limited to: -Basic science education -Clinical science education -Residency education -Learning theory -Problem-based learning (PBL) -Curriculum development -Research design and statistics -Measurement and evaluation -Faculty development -Informatics/web
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