Using standardised patients in an objective structured clinical examination as a patient safety tool
Identifieur interne : 003105 ( Main/Exploration ); précédent : 003104; suivant : 003106Using standardised patients in an objective structured clinical examination as a patient safety tool
Auteurs : J B Battles [États-Unis] ; S L Wilkinson [États-Unis] ; S J Lee [États-Unis]Source :
- Quality and Safety in Health Care [ 1475-3898 ] ; 2004-10.
English descriptors
- KwdEn :
- BPD, blood product deviation, FDA, Food and Drug Administration, G theory, generalisability theory, HIV, human immunodeficiency virus, HXE, history examination extraction, HXI, history examination interpretation, OSCE, objective structured clinical examination, SD, standardised donor, SP, standardised patient, competency assessment, medical error, objective structured clinical examination (OSCE), patient safety, post-donation information.
- Teeft :
- Actual disease, Actual patients, Available resources, Biologics evaluation, Blood product deviation, Blood supply, Blood transfusion, Cincinnati press, Clinical competence, Clinical examination, Clinical performance, Clinical skills, Clinical skills assessment, Competency, Competency assessment, Competency examination, Consensus conference, Critical care, Dependability index, Disease control, Donor, Donor form, Donor forms, Donor suitability, Drug administration, Generalisability coefficient, Health history, Health history taker, Health history takers, Health information, Health professionals, Healthcare research, History examination extraction, History examination interpretation, History taker, History takers, Hoxworth, Hoxworth blood center, Human error, Human performance, Human services, Important issue, Important patient safety tool, International travel, Lowest score, Malaria areas, Medical case, Medical center, Medical education, Medical history, Medical interview, Medical students, National academy press, Osce, Osce format, Osces, Patient safety, Patient safety settings, Patient safety tool, Performance assessment, Performance examinations, Postdonation, Postdonation information, Previous experience, Psychometric analysis, Quality assurance, Quality improvement, Reliability, Safety events, Satisfactory performance, Simulation, Standardised, Standardised donor, Standardised donors, Standardised patient, Standardised patients, Standardized patients, Suitability, Taker, Transfusion, Transfusion medicine.
Abstract
Standardised patients (SPs) are a powerful form of simulation that has now become commonplace in training and assessment in medical education throughout the world. Standardised patients are individuals, with or without actual disease, who have been trained to portray a medical case in a consistent manner. They are now the gold standard for measuring the competence of physicians and other health professionals, and the quality of their practice. A common way in which SPs are used in performance assessment has been as part of an objective structured clinical examination (OSCE). The use of an SP based OSCE can be a powerful tool in measuring continued competence in human reliability and skill performance where such skills are a critical attribute to maintaining patient safety. This article will describe how an OSCE could be used as a patient safety tool based on cases derived from actual events related to postdonation information in the blood collection process. The OSCE was developed as a competency examination for health history takers. Postdonation information events in the blood collection process account for the majority of errors reported to the US Food and Drug Administration. SP based assessment is an important patient safety tool that could be applied to a variety of patient safety settings and situations, and should be considered an important weapon in the war on medical error and patient harm.
Url:
DOI: 10.1136/qshc.2004.009803
Affiliations:
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Le document en format XML
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<term>HXE, history examination extraction</term>
<term>HXI, history examination interpretation</term>
<term>OSCE, objective structured clinical examination</term>
<term>SD, standardised donor</term>
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<term>Available resources</term>
<term>Biologics evaluation</term>
<term>Blood product deviation</term>
<term>Blood supply</term>
<term>Blood transfusion</term>
<term>Cincinnati press</term>
<term>Clinical competence</term>
<term>Clinical examination</term>
<term>Clinical performance</term>
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<term>Clinical skills assessment</term>
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<term>Competency assessment</term>
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<term>History examination extraction</term>
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<term>Medical interview</term>
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<term>Patient safety</term>
<term>Patient safety settings</term>
<term>Patient safety tool</term>
<term>Performance assessment</term>
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<term>Postdonation</term>
<term>Postdonation information</term>
<term>Previous experience</term>
<term>Psychometric analysis</term>
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<front><div type="abstract" xml:lang="en">Standardised patients (SPs) are a powerful form of simulation that has now become commonplace in training and assessment in medical education throughout the world. Standardised patients are individuals, with or without actual disease, who have been trained to portray a medical case in a consistent manner. They are now the gold standard for measuring the competence of physicians and other health professionals, and the quality of their practice. A common way in which SPs are used in performance assessment has been as part of an objective structured clinical examination (OSCE). The use of an SP based OSCE can be a powerful tool in measuring continued competence in human reliability and skill performance where such skills are a critical attribute to maintaining patient safety. This article will describe how an OSCE could be used as a patient safety tool based on cases derived from actual events related to postdonation information in the blood collection process. The OSCE was developed as a competency examination for health history takers. Postdonation information events in the blood collection process account for the majority of errors reported to the US Food and Drug Administration. SP based assessment is an important patient safety tool that could be applied to a variety of patient safety settings and situations, and should be considered an important weapon in the war on medical error and patient harm.</div>
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