| 英文摘要 |
Objectives: We investigated the effectiveness of the high-fidelity simulation training on the improvement of team work and patient safety attitudes. Methods: With the prerequisite of attending class-based Team Resource Management (TRM) course, students from emergency department (ED) and intensive care unit (ICU) undertook the two-and-half hour simulationbased team training. Course evaluation form and Safety Attitudes Questionnaire (SAQ) were distributed before and after the training to determine whether the simulation-based training can enhance trainees' team knowledge and skills, whether they can practice on routine clinical works, and how the patient safety attitudes have changed following the simulation-based TRM training. Outcomes: After simulation-based training, trainees well refreshed their team knowledge and skills learned from previous TRM training. Trainees showed more confidence in executing team skills in daily clinical works. In terms of patient safety attitudes, both ED and ICU scored higher positive responses on "teamwork climate"(ED is 50% and ICU is 57.4%) and"safety climate"(ED is 41.7% and ICU is 42.6%) subscales, as compared to peer data. Conclusion: Apart from the initial traditional class-based training, high-fidelity, simulation-based training can refresh trainees' team knowledge and skills. Their patient safety attitudes showed significant improvement following training. However, more studies need to be done in the future to further confirm the effectiveness of the simulation-based team training on the clinical care quality. |
