Clinical error management training for midwifery students in Shahid Sadoughi University of Medical Sciences, Yazd

نویسندگان

1 Assistant Professor in Reproductive Health, Research Center for Nursing and Midwifery Care, Shahid Sadoughi University of Medical Sciences, Yazd, Iran,

2 MSC in Midwifery, Research Center for Nursing and Midwifery Care, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

3 MSC in Midwifery, Research Center for Nursing and Midwifery Care, Shahid Sadoughi University of Medical Sciences, Yazd, Iran, PhD Student of Reproductive Health, University of Medical Sciences, Isfahan, Iran

4 MSC in Midwifery, Department of Nursing and Midwifery, Islamic Azad University, Kerman, Iran

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چکیده

INTRODUCTION: Today, the quality of health services is considered to be providing “error‑free”services, at the right time, by the right person and with the least resources. In recent years, educationthrough evidence‑based care has been emphasized by health system policymakers as a way toimprove care standards. Therefore, the purpose of this study is to teach clinical error managementto midwifery students in Shahid Sadoughi University of Medical Sciences in Yazd.METHODS: The present study was performed using consensus‑based methods based on Delphitechnique to identify the most common errors and the best educational solution for its managementwith the participation of 21 midwives by purposive sampling method in Shahid Sadoughi Universityof Medical Sciences in Yazd in 2018. The rate of agreement was 75% or more. Descriptive statisticalmethods and SPSS‑18 software were used for analysis.RESULTS: The most important errors mentioned were as follows: In the field of hospital care,it was the scope of care during labor and in clinical care, it was the scope of prenatal care. Themost important error reduction strategies that were considered in the clinical guide in general wereemphasizing the following: active supervision of instructors during the provision of students’ clinicalservices, paying attention to the evaluation of service provision with the least incidence of errors inend‑of‑course evaluation, make changes in clinical teaching methods, attention to the use of activeteaching methods and the use of educational software. The cases were considered separately ineach of the mentioned errors.DISCUSSION AND CONCLUSION: Incidence of errors in pregnancy and childbirth as the most errorsof midwifery students in the field of hospital and clinical care was agreed on. Therefore, consideringthis issue and the importance of preventing errors to provide quality services to mothers and infants,it seems that it is time to make changes in clinical education in this field by emphasizing the use ofactive educational methods.

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