“吸的麻烦”排除故障伤口真空:视频为基础的课程开发和实施在一个活组织模型

IF 2.7 3区 医学 Q1 SURGERY American journal of surgery Pub Date : 2025-05-01 Epub Date: 2025-02-11 DOI:10.1016/j.amjsurg.2025.116244
M.K. Lonneman, L. Pumiglia, B. Zhang, A.A. Edinger, J. Dejong, O.O. Akinmoladun, J.C. Van Eaton, A. Kelly, K. Dolezal, A. Enzerink, J.J. Glaser, J.R. Bingham, J. Oliver
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引用次数: 0

摘要

我们假设,非外科医生负压伤口治疗(NPWT) naïve参与者在暴露于视频课程(VC)后,与暴露于临床实践指南(cpg)的类似参与者相比,能够更好地识别设备功能并排除故障。VC和关键动作步骤发展之后,将115名非手术NPWT naïve参与者随机分为CPG或VC研究组。参与者分别确定了NPWT系统的组成部分,然后作为一个团队在猪体内模型上解决了三种情况。VC参与者更好地识别了NPWT的所有组成部分和功能(p <;0.001),证明了正确的罐连接(p <;0.001),并执行密封检查(p <;0.001)。VC团队在泄漏(p = 0.011)和阻塞(p = 0.001)情况下执行了更多关键的操作步骤。在事后调查中,参与者更有可能发现VC易于使用和信息丰富,并有可能将视频推荐给同事(p = 0.008, p = 0.019, p = 0.02)。VC参与者在单个NPWT组件识别和基于团队的NPWT故障排除方面表现出提高的能力。该VC代表了现有cpg的有效替代方案。
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“Sucking the trouble” out of troubleshooting wound vacs: Video based curriculum development and implementation in a live tissue model
We hypothesized that non-surgeon, Negative Pressure Wound Therapy (NPWT) naïve participants would better identify device functions and troubleshoot failures after being exposed to a video curriculum (VC) compared to similar participants exposed to clinical practice guidelines (CPGs). VC and critical action step development was followed by randomization of 115 non-surgical, NPWT naïve participants into either the CPG or VC study groups. Participants individually identified components of the NPWT system and then worked as a team to troubleshoot three scenarios on an in vivo porcine model. VC participants better identified all NPWT components and functions (p ​< ​0.001), demonstrated correct cannister attachment (p ​< ​0.001) and performed a seal check (p ​< ​0.001). VC teams performed more critical action steps in the leak (p ​= ​0.011) and obstruction (p ​= ​0.001) scenarios. In post-event surveys, participants were more likely to find the VC easy to use and informative and were likely to recommend the videos to a colleague (p ​= ​0.008, p ​= ​0.019, p ​= ​0.02). VC participants demonstrated improved competency in individual NPWT component identification and team-based troubleshooting of NPWT failures. This VC represents an effective alternative to existing CPGs.
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来源期刊
CiteScore
5.00
自引率
6.70%
发文量
570
审稿时长
56 days
期刊介绍: The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.
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