gms | German Medical Science

Jahrestagung der Gesellschaft für Medizinische Ausbildung (GMA)

27.09. - 29.09.2012, Aachen

Comprehensive Learning Effects of a Course on Patient Safety

Poster

  • corresponding author Karen Könings - Maastricht University, Maastricht, Niederlande
  • Richard Koopmans - Maastricht University, Maastricht, Niederlande
  • Cees Van der Vleuten - Maastricht University, Maastricht, Niederlande
  • Jeroen van Merriënboer - Maastricht University, Maastricht, Niederlande

Jahrestagung der Gesellschaft für Medizinische Ausbildung (GMA). Aachen, 27.-29.09.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocP112

doi: 10.3205/12gma013, urn:nbn:de:0183-12gma0136

Veröffentlicht: 18. September 2012

© 2012 Könings et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Background: Improving patient safety is an extremely relevant topic in medicine. Training may contribute to limiting unsafety, but effects are often only evaluated on the lower levels of learning as defined by Kirkpatrick.

Summary of work: Effects of a course ‘Patient Safety’ for residents (N=29) were longitudinally measured on all four levels: satisfaction with the course, attitudes towards patient safety, behavioural intentions on communicating about errors, and patient safety culture in the own department.

Summary of results: Attitudes improved during the course, but effects disappeared three months later. Behavioural intentions changed over time with also long-term effects, especially on increased reporting unsafe situations in an error reporting system, but less on discussing errors with patients or supervisors. No effects on organisational level were found.

Conclusions: Evaluating the training on different levels showed differential effects. Long-lasting effects of a course on patient safety can be reached, although not yet on all levels. Behavioural intentions changed because of the course, but future research is needed for reaching sustainable effects on attitudes and affecting organisations.

Take-home messages: Evaluating a course on different levels of measurement improves insight in its effects, pointing to specific areas that need improvement in the course design [1], [2], [3], [4].


References

1.
Flin R, Patey R, Jackson J, Mearns K, Dissanayaka U. Year 1 medical undergraduates' knowledge of and attitudes to medical error. Med Educ. 2009;43(12):1147-1155. DOI: 10.1111/j.1365-2923.2009.03499.x Externer Link
2.
Patey R, Flin R, Cuthbertson BH, MacDonald L, Mearns K, Cleland J, Williams D. Patient safety: helping medical students understand error in Healthcare. Qual Saf Health Care. 2007;16(4):256-259. DOI: 10.1136/qshc.2006.021014 Externer Link
3.
Theodore WF, Chadha R, Watson C, Zlatkovska E. Improving course evaluations to improve instruction and complex learning in higher education. Educ Tech Res Develop. 2010;58:115-136. DOI: 10.1007/s11423-009-9131-z Externer Link
4.
Yardley S, Dornan T. Kirkpatrick's levels and education 'evidence'. Med Educ. 2012;46(1):97-106. DOI: 10.1111/j.1365-2923.2011.04076.x Externer Link