首页|期刊导航|麻醉安全与质控|质控与教学融合:提升规培学员麻醉安全胜任力的闭环策略探索

质控与教学融合:提升规培学员麻醉安全胜任力的闭环策略探索OA

Integration of quality control and teaching:exploration of closed-loop strategies for enhancing the anesthesia safety competence of standardized training trainees

中文摘要英文摘要

住院医师规范化培训是麻醉学人才成长的基石,但学员的临床经验不足与麻醉安全的高风险性之间存在矛盾.传统教学模式常将学员置于被动接受知识的位置,而现代麻醉质量控制(质控)体系则强调全员、全过程参与.本文提出,将麻醉质控的理念、工具与方法系统性、前瞻性地融入规培教学全过程,是化解上述矛盾、提升整体安全水平的关键策略.通过构建"结构化教学-过程化质控-反馈评估闭环"三位一体的模式,可将学员从被动的安全管理对象,转变为主动的安全实践者与系统改进参与者.本文详细阐述了该模式的实施路径,旨在为实现"教学赋能安全,质控反哺教学"的良性循环提供理论框架与实践参考.

Standardized residency training is the cornerstone for cultivating anesthesiology professionals.However,there is a contradiction between the insufficient clinical experience of trainees and the high risks of anesthesia safety.The traditional teaching model often places trainees in a passive position of knowledge reception,while the modern anesthesia quality control(QC)system emphasizes full participation by all staff throughout the entire process.This paper proposes that integrating the concepts,tools,and methods of anesthesia quality control systematically and prospectively into the entire process of standardized training for residents is a key strategy to resolve the above contradiction and improve the overall safety level.By constructing a tripartite model of structured teaching-process-based quality control-feedback assessment loop,trainees can be transformed from passive safety management objects to active safety practitioners and system improvement participants.This paper elaborates the implementation pathways of this model,aiming to provide a theoretical framework and practical reference for achieving a virtuous cycle of enabling safety through teaching and quality control feeding back into teaching.

郑晋伟;陈骏萍

宁波市第二医院麻醉科,浙江 宁波 315000宁波市第二医院麻醉科,浙江 宁波 315000

住院医师麻醉安全质量控制模拟教学闭环管理

residencyanesthesia safetyquality controlsimulation teachingclosed-loop management

《麻醉安全与质控》 2026 (4)

320-323,4

宁波市第二医院朱绣山人才奖励基金(2023HMJQ18)宁波市级医疗卫生品牌学科(PPXK2024-05)浙江省医药卫生科技计划项目(2021KY286)

10.3969/j.issn.2096-2681.2026.04.007

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