并发症与死亡病例讨论在肾病内科临床教学中的应用

Application of morbidity and mortality conferences in the clinical teaching of nephrology

并发症与死亡病例讨论是为避免医疗失误发生或重现、保证和改善医疗质量、提升医学生临床胜任力而进行的临床教学活动。然而,目前我国多数教学医院并未常规开展该项教学活动,或实施不规范而未能达到理想效果。本研究将并发症与死亡病例讨论引入肾病内科的临床教学中,系统剖析不良事件背后的原因,总结经验教训,制定改进措施,对维护医疗安全、改善医疗服务起到了良好的促进作用。同时,参会医学生的自评问卷结果提示,该项临床教学活动有助于提升医学生的核心胜任力。积极建立与不断完善标准化的并发症与死亡病例讨论体系对我国医疗与医学教育事业的高质量发展具有重要意义。

Morbidity and mortality conferences are clinical teaching activities that aim to prevent the occurrence or recurrence of medical errors,assure and improve the quality of healthcare,and enhance the clinical competency of medical students.At present,most teaching hospitals in China do not regularly carry out such teaching activities or organize them improperly and thus fail to achieve the desired effect.This study introduces morbidity and mortality conferences into the clinical teaching of nephrology and aims to systematically analyze the potential factors causing adverse events,summarize related experience,and formulate improvement measures,so as to maintain medical safety and improve medical service.Meanwhile,results from the questionnaires completed by medical students who attended the conferences showed that such clinical teaching activities might help to enhance the core competency of medical students.Therefore,active construction and continuous improvement of morbidity and mortality conferences have an important significance for the high-quality development of healthcare system and medical education in China.