文章摘要
海南省二级综合医院脑死亡临床判定培训质控
首都医科大学宣武医院主任医师、教授、博士研究生导师 全球神经重症学会合作伙伴计划中国负责人 国家卫健委脑损伤评价医疗质量控制中心脑死亡判定工作组常务副组长 中华医学会神经病学分会第1、2届神经重症协作组组长 中国医师协会神经内科医师分会第1届神经重症疾病专业委员会主委 中国医疗保健国际促进会神经病学分会第1届神经重症学组组长 中华医学会肠外肠内营养学分会委员兼第1、2、3届神经疾病营养支持学组组长
投稿时间:2024-11-20  修订日期:2024-11-20
DOI:
中文关键词: 脑死亡  判定标准  技术规范  培训方案  质量控制  二级综合医院
英文关键词: Brain death  Judging criteria  Technical specifications  Training mode  Quality control  Secondary general hospital
基金项目:
作者单位邮编
陈敏 海南医科大学第二附属医院 570311
李鹏翔 海南医科大学第二附属医院 
吴孝文 海南医科大学第二附属医院 
许钟中 海南医科大学第二附属医院 
黄少珠 海南医科大学第二附属医院 
陈擘璨 海南医科大学第二附属医院 
高苗 海南医科大学第二附属医院 
张小云 海南医科大学第二附属医院 
游咏 海南医科大学第二附属医院 
宿英英 首都医科大学宣武医院 100000
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中文摘要:
      【摘要】 目的:探索二级综合医院规范化脑死亡临床判定培训的方法与重点,以此保障培训质量。方法:海南医科大学第二附属医院作为全国二级综合医院规范化脑死亡临床判定培训试点单位,对全省17个县市33家二级综合医院的79名学员展开4期培训。培训分为培训前基线资料调查、培训目标设定与培训重点调整、培训后意见反馈调查三个步骤。结果:随着培训方案的持续改进与优化,参培学员考核成绩逐步提高,第2、3、4期分别与第1期成绩比对,考核分数提高并具有显著性差异;第3、4期与第2期成绩比对,仅第2期与第4期比对考核分数提高并具有显著性差异。结论:随着培训方案持续改进与优化,培训质量不断提高。由此,为进一步展开脑死亡预判的临床实践打下良好基础。基于培训活动的实践,提出了3点建议,可供全国大范围展开二级综合医院规范化脑死亡临床判定培训提供借鉴。
英文摘要:
      Abstract Objective To explore the methods and steps of standardized brain death clinical determination training in secondary general hospitals, so as to ensure the quality of training. Methods The Second Affiliated Hospital of Hainan Medical University, as the pilot unit of standardized brain death clinical determination training for national second-level general hospitals, conducted 4-stage training for 79 students from 33 second-level general hospitals in 17 counties and cities of the province. The training consists of three steps: pre-training baseline data survey, training goal setting and training focus adjustment, and post-training comments and suggestions survey. Results With the continuous adjustment and optimization of the training plan, the assessment scores of the participants were gradually improved, that is, the scores of the second, third and fourth periods were compared with those of the first period, and the assessment scores were improved with significant differences. The results of the third and fourth periods were compared with those of the second period, but the assessment scores of the second period were improved and had a significant difference. Conclusion Based on the three steps of training, the quality of training is constantly improved. Therefore, it lays a good foundation for further clinical practice of brain death prediction. Based on the practice of training activities, the paper puts forward three suggestions, which can be used for reference to carry out standardized clinical determination of brain death in a wide range of secondary general hospitals.
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