Identifying patient safety competences among anesthesiology residents: systematic review

Pereira, Fernanda Silva Hojas; Garcia, Daniela Bianchi; Ribeiro, Elaine Rossi

doi:10.1016/j.bjane.2021.06.029

Cited by 2 publications

(1 citation statement)

References 20 publications

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“…Simulation‐based training is widely used in health professional education to develop learners’ knowledge, skills, and attitudes while limiting patient risk 1,2 . Recent systematic reviews have reported notable improvements in learners’ self‐confidence in procedures including injection 3 and anesthesia, 4 after simulation sessions. Simulation modalities for dental education include 3D‐printed teeth, 5 manikins, simulated patients, 6 and virtual or augmented reality platforms 2,8 .…”

Section: Introductionmentioning

confidence: 99%

The effect of smartphone filming on student confidence in dental anesthesia techniques: A randomized trial

Uppgaard

Huang

Johnson

et al. 2023

Journal of Dental Education

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Objectives To examine the effect of individualized smartphone‐recorded video review on dental student confidence in performing local anesthesia (LA) techniques, in a manikin‐based simulation environment. Methods All University of Minnesota second‐year dental students were invited to participate in this randomized trial developed following the Consolidated Standards of Reporting Trials statement, in 2020. With a parallel trial design, 104 students were randomly divided into two groups (52 per group) prior to the learning experience. Students and researchers were not blinded to group assignments. All students learned LA techniques in the same manikin‐based simulation setting. The experimental group incorporated individualized smartphone filming into simulation training, and the control group did not. A paper‐based questionnaire with 19 5‐point Likert scale questions assessed the students’ self‐rated confidence levels in LA techniques before, immediately after, and approximately one month after the training. Results The final sample included 45 students in the experimental group (48.4%) and 48 in the control group (51.6%). In both groups, student confidence in performing LA techniques increased after completion of the training (p < 0.001), with no harm reported. The experimental group reported greater confidence in inferior alveolar nerve injection (p = 0.038), and in local anesthetic administration rate (p = 0.029), compared with the control group. Conclusions This study suggested that the incorporation of smartphone‐recorded video review in simulation training is beneficial for learning LA techniques. Further investigation on teaching methods to enhance student confidence and performance in LA administration is indicated.

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Section: Introductionmentioning

confidence: 99%

The effect of smartphone filming on student confidence in dental anesthesia techniques: A randomized trial

Uppgaard

Huang

Johnson

et al. 2023

Journal of Dental Education

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Health professionals’ perceptions of patient safety competencies: psychometric properties of the French version of the H-PEPSS in France and Switzerland

Boloré,

Sovet,

Guirimand

2023

BMC Med Educ

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Background Several initiatives have been implemented to develop, manage, and assess patient safety (PS) competencies, which are considered as a serious public health issue across the world. The Health Professional Education in Patient Safety Survey (H-PEPSS) is widely used as a psychometric scale for evaluating perceived PS competencies but has not been validated in French. The purpose of the study was to investigate the main psychometric properties of the French version of the H-PEPSS. Methods A total of 449 students enrolled in nursing and physiotherapy schools in France and French-speaking Switzerland completed a self-administered questionnaire. The 38 items of the H-PEPSS were translated into French following a committee approach. The scale’s construct validity was assessed using confirmatory factor analysis. Reliability of the six factors of the H-PEPSS was evaluated using Cronbach α and McDonald’s ω. Measurement invariance across countries and academic majors as well as discriminant validity were also investigated. Results After we removed one item, the H-PEPSS 6-factor model demonstrated adequate goodness-of-fit statistics (χ2[194] = 316.633, χ2/df = 1.632, p < 0.001, CFI = 0.934, TLI = 0.922, RMSEA = 0.041 [0.033, 0.049], SRMR = 0.044). The total score can be also used as an overall measure of PS competence (χ2[203] = 342.251, χ2/df = 1.686, p < 0.001, CFI = 0.925, TLI = 0.915, RMSEA = 0.043 [0.035, 0.051], SRMR = 0.047). One item was removed because of its high multicollinearity with other items. The reliability was deemed satisfactory (Cronbach α ≥ 0.60), except for the “Understanding human and environmental factors” subscale. Consistently, this subscale was often reported with the lowest reliability in previous studies. We confirmed scalar invariance between countries and partial scalar invariance between majors (ΔCFI ≤ 0.01). The heterotrait-monotrait ratio of correlations ranged from 0.63 to 0.91. In our results, country, academic year, and academic satisfaction were frequently the main predictors of self-reported PS competencies. Conclusion Perceived PS competencies can be assessed and fairly compared across France and Switzerland and across nursing and physiotherapy students. We discuss the relevance of the introduction of the H-PEPSS in the training pathway of health professions degree courses and the fallout in clinical contexts.

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Identifying patient safety competences among anesthesiology residents: systematic review

Cited by 2 publications

References 20 publications

The effect of smartphone filming on student confidence in dental anesthesia techniques: A randomized trial

The effect of smartphone filming on student confidence in dental anesthesia techniques: A randomized trial

Health professionals’ perceptions of patient safety competencies: psychometric properties of the French version of the H-PEPSS in France and Switzerland

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