지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.70 No.2
- 발행연도
- 2017.1
- 수록면
- 196 - 202 (7page)
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초록· 키워드
오류제보하기
Background: The learning curve cumulative sum (LC-CUSUM) test is an innovative tool that allows quantitative monitoring of individual medical performance during the learning process by determining when a predefined acceptable level of performance is reached. This study used the LC-CUSUM test to monitor the learning process and failure rate of anesthesia residents training for specific subspecialty anesthesia procedures. Methods: The study included 490 tracheal punctures (TP) for jet ventilation, 340 thoracic epidural analgesia (TEA) procedures, and 246 fiberoptic nasal intubations (FONI) performed by 18 residents during their single 6-month rotation. Results: Overall, 27 (14–52), 19 (5–41), and 14 (6–33) TP, TEA, and FONI procedures were performed, respectively, by each resident. In total, 2 of 18 residents achieved an acceptable failure rate for TEA according to the literature and 4 of 18 achieved an acceptable failure rate for FONI, while none of the residents attained an acceptable rate for TP. Conclusions: A single 6-month rotation in a reference teaching center may not be sufficient to train residents to perform specific or sub-specialty procedures as required. A regional learning network may be useful. More patient-based data are necessary to conduct a risk adjustment analysis for such specific procedures.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Suñol R / 2009 / Impact of quality strategies on hospital outputs / Qual Saf Health Care 18(Suppl 1):i62~i68
Lim TO / 2002 / Assessing doctors' competence: application of CUSUM technique in monitoring doctors' perfor mance / Int J Qual Health Care 14:251~258
Biau DJ / 2010 / A method for monitoring a process from an out of control to an in control state: Application to the learning curve / Stat Med 29:1900~1909
Biau DJ / 2008 / Quantitative and individualized assessment of the learning curve using LCCUSUM / Br J Surg 95:925~929
de Leval MR / 1994 / Analysis of a cluster of surgical failures. Application to a series of neonatal arterial switch operations / J Thorac Cardiovasc Surg 107:914~923
Lim TO / 2002 / Assessing doctors' competence: application of CUSUM technique in monitoring doctors' perfor mance / Int J Qual Health Care 14:251~258
Biau DJ / 2010 / A method for monitoring a process from an out of control to an in control state: Application to the learning curve / Stat Med 29:1900~1909
Biau DJ / 2008 / Quantitative and individualized assessment of the learning curve using LCCUSUM / Br J Surg 95:925~929
de Leval MR / 1994 / Analysis of a cluster of surgical failures. Application to a series of neonatal arterial switch operations / J Thorac Cardiovasc Surg 107:914~923
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