Konzeption und Evaluation eines vorklinischen medizinischen Wahlpflichtfaches „Sicherheitskultur in der Medizin: Jeder Fehler zählt!“

Sawicki, Olga A.; Müller, Angelina; Pommée, Marina; Blazejewski, Tatjana; Schneider, Kyra; Kreuzmair, Lorenz; Schwarz, Mitja; Tesky, Valentina A.; Gerlach, Ferdinand M.; Müller, Beate S.

doi:10.1016/j.zefq.2021.01.008

Cited by 3 publications

(4 citation statements)

References 17 publications

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“…Such patient safety skills should be an integral part of the training of all medical staff: physicians, nurses, and other healthcare personnel. On a global level, preliminary attempts have been initiated, and these can serve as a blueprint for countries that have not yet introduced regular patient safety trainings 19–23 . Besides the need for training, it is important to analyze incident reports at a higher level and to provide the resulting information to those with the power to initiate stronger measures, such as national agencies.…”

Section: Discussionmentioning

confidence: 99%

Strength of Safety Measures Introduced by Medical Practices to Prevent a Recurrence of Patient Safety Incidents: An Observational Study

et al. 2021

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The aim of this study was to analyze the strength of safety measures described in incident reports in outpatient care.Methods: An incident reporting project in German outpatient care included 184 medical practices with differing fields of specialization. The practices were invited to submit anonymous incident reports to the project team 3 times for 17 months. Using a 14-item coding scheme based on international recommendations, we deductively coded the incident reports and safety measures. Safety measures were classified as "strong" (likely to be effective and sustainable), "intermediate" (possibly effective and sustainable), or "weak" (less likely to be effective and sustainable). Results:The practices submitted 245 incident reports. In 160 of them, 243 preventive measures were described, or an average of 1.5 per report. The number of documented measures varied from 1 in 67% to 4 in 5% of them. Four preventive measures (2%) were classified as strong, 37 (15%) as intermediate, and 202 (83%) as weak. The most frequently mentioned measures were "new procedure/policy" (n = 121) and "information/notification/warning" (n = 45). Conclusions:The study provides examples of critical incidents in medical practices and for the first time examines the strength of ensuing measures introduced in outpatient care. Overall, the proportion of weak measures is (too) high, indicating that practices need more support in identifying strong measures.

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Section: Discussionmentioning

confidence: 99%

Strength of Safety Measures Introduced by Medical Practices to Prevent a Recurrence of Patient Safety Incidents: An Observational Study

et al. 2021

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“…The online elective on safety culture was developed on the basis of the in-person elective we offered in 2020 [ 8 ]. Established multimedia design principles [ 14 ] were used when showing presentations.…”

Section: Methodsmentioning

confidence: 99%

“…In response to the WHO recommendation, several universities in Germany are now offering courses on safety culture [ 8 ], mostly as part of the advanced medical curriculum. We explicitly chose to offer the elective to undergraduates and thus to follow recommendations to teach the subject at an early stage of medical studies [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…This is especially true for sensitive topics such as safety culture. We therefore developed an online elective on safety culture for undergraduate medical students that was based on a previously described and evaluated in-person elective [ 8 ]. We retained elements that successfully involved a high degree of interaction such as role-play, and modified them according to multimedia design principles from the Association of American Medical Colleges Institute on the Effective Use of Educational Technology in Medical Education [ 14 ], as these have been shown to improve knowledge retention in medical education [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Providing an interactive undergraduate elective on safety culture online – concept and evaluation

et al. 2022

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Background The COVID-19 pandemic has made it more difficult to maintain high quality in medical education. As online formats are often considered unsuitable, interactive workshops and seminars have particularly often been postponed or cancelled. To meet the challenge, we converted an existing interactive undergraduate elective on safety culture into an online event. In this article, we describe the conceptualization and evaluation of the elective. Methods The learning objectives of the safety culture elective remained unchanged, but the teaching methods were thoroughly revised and adapted to suit an online setting. The online elective was offered as a synchronous two-day course in winter semester 2020/21 during the “second wave” of the COVID-19 pandemic in Germany. At the end of each day, participating students evaluated the elective by completing an online survey. Items were rated on a six-point Likert scale. We used SPSS for data analysis. Results Twenty medical undergraduates completed the elective and rated it extremely positively (1.1 ± 0.2). Students regard safety culture as very important and felt the learning objectives had been achieved. Moreover, they were very satisfied with the design and content of the elective, and especially with interactive elements like role-play. Around 55% of participants would recommend continuing to offer the online elective after the pandemic. Conclusions It makes sense to offer undergraduate medical students online elective courses on safety culture, especially during a pandemic. The elective described here can serve as a best practice example of how to teach safety culture to undergraduates, especially when physical presence is unfeasible. Electives requiring a high degree of interaction can also function well online.

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Enhancing Pediatric Emergency Training: The Impact of Virtual Reality- Simulations on Medical Student Knowledge and Learning Experience

Keicher,

Müller,

Ruf

et al. 2024

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Background Pediatric emergencies present significant risks, and medical students often have limited exposure to these situations, hindering the development of clinical skills. Virtual reality (VR) simulations offer a solution by providing high-fidelity experiences for practicing clinical reasoning and procedures. This study aimed to assess knowledge gain and gather student perspectives following a pediatric emergency VR simulation. Methods A 45-minute VR case scenario involving a newborn with late-onset sepsis was developed and implemented as part of the clinical rotation for medical students. Students' knowledge was assessed before and after the seminar using open text questions. Additionally, a post-seminar questionnaire was employed to gather feedback on estimated learning success, the efficiency of the simulation, and the didactic concept. Results Students demonstrated a significant enhancement in objective knowledge, with average scores increasing from 7.80 ± 2.1 points before the seminar to 10.90 ± 1.2 points after (out of a maximum of 12 points). Knowledge of nearly all individual diagnostic and therapeutic measures showed a significant increase. Accordingly, participants reported a high level of estimated learning success within the VR scenario. They also appreciated the utilization of VR simulations for instructing pediatric emergencies. The presence of a clinician expert throughout the seminar was well-received as integral part of the didactic concept. Conclusions VR simulations for pediatric emergencies offer a practical means for students to link theoretical knowledge with practical skills. They prove to be a motivating educational tool that leads to a quantifiable enhancement in students' knowledge.

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Konzeption und Evaluation eines vorklinischen medizinischen Wahlpflichtfaches „Sicherheitskultur in der Medizin: Jeder Fehler zählt!“

Cited by 3 publications

References 17 publications

Strength of Safety Measures Introduced by Medical Practices to Prevent a Recurrence of Patient Safety Incidents: An Observational Study

Strength of Safety Measures Introduced by Medical Practices to Prevent a Recurrence of Patient Safety Incidents: An Observational Study

Providing an interactive undergraduate elective on safety culture online – concept and evaluation

Enhancing Pediatric Emergency Training: The Impact of Virtual Reality- Simulations on Medical Student Knowledge and Learning Experience

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