Can Resilience Skills in Patient Safety be Improved by Simulation-Based Healthcare Education?

2022 Fiscal Year Final Research Report

• Project/Area Number: 20K18840
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58010:Medical management and medical sociology-related
• Research Institution: Tohoku University
• Principal Investigator: Arata Yutaro 東北大学, 大学病院, 助手 (20755011)
• Project Period (FY): 2020-04-01 – 2023-03-31
• Keywords: 医療安全 / 医学教育 / シミュレーション教育 / シミュレーション医学教育

Outline of Final Research Achievements

This research project aimed to measure the impact of traditional patient safety education on learners' acquisition of patient safety capabilities and to develop a new educational program based on the measured data. We had learners with a certain level of knowledge and skills in primary life support practice how they would respond in two types of situations: (1) scenarios commonly encountered in traditional CPR education and (2) irregular situations that could potentially occur in a medical setting. After the practical tasks, we conducted a questionnaire survey to assess learners' achievement. The results of the practical tasks and the questionnaire survey revealed that in irregular scenarios, the frequency of serious judgment mistakes that could lead to medical accidents increased, and performance decreased.

Free Research Field

医療教育

Academic Significance and Societal Importance of the Research Achievements

本研究課題の成果から、学習者にイレギュラーなシチュエーションを疑似体験させることにより、手技の応用の理解や、状況把握の重要性の理解を促進させる効果が明らかとなった。そのため、患者安全教育においては、全ての医療従事者に対して画一的な知識や手技を学習させるだけではなく、実際に起こり得るシチュエーションや本人の予想できない状況を、本人の能力に応じて学習内容を変化させながら、疑似的に体験させることで、レジリエンス能力を獲得できる可能性が示唆された。個別化された教育を実現することで、全ての医療従事者が高い患者安全能力を獲得し、ひいては医療事故の減少に寄与することができる。