IMPACT OF EDUCATIONAL INTERVENTION WITH SUPPORT OF EDUCATIONAL MODULE ON PATIENT SAFETY
IN ANESTHESIOLOGY
Patient Safety; Anesthesiology; Medical Residency; Curriculum.
Introduction: The competency matrix of the Medical Residency
Programs in Anesthesiology in Brazil has the specific objective of
“performing anesthesia safely in all its stages”, whose elements for the implementation of a specific curriculum need to be defined. Given this
scenario, the development and implementation of an educational module on
patient safety for anesthesiology residents was proposed.
Objectives: To evaluate the impact of an educational intervention, supported
by an educational module on patient safety in anesthesiology, on residents' knowledge of the specialty and their degree of satisfaction with the strategy developed.
Methods: Quasi-experimental study with an interrupted time series design
with a group, carried out at the Hospital Universitário Onofre Lopes (HUOL),
of the Federal University of Rio Grande do Norte (UFRN), involving 10
residents from the first to the third year of the Medical Residency Program of Anesthesiology at the Institution. An educational module was developed, in
e-book format, and a pedagogical strategy was implemented to mediate the
learning of residents, in four face-to-face meetings, which took place during practical activities at the hospital. A knowledge assessment was carried out
with a pre-test, before the first discussion of patient safety content, in the first meeting, and post-test, in the last meeting, and satisfaction assessment using a questionnaire with a Likert scale.
Results: Pre-test scores ranged between 6.25 and 8.75 (average 7.50), while
post-test scores ranged from 7.50 to 10.0 (average 9.03). A significant
difference was found for the values of the median scores in the two moments
of application of the test, using the Wilcoxon test, at the significance level
α = 5% (p- value: 0.0199). The consistency of the satisfaction questionnaire
was assessed using Cronbach's alpha coefficient (alpha of 0.793), being
considered “Acceptable”. In general, the answers were satisfactory for each
of the items questioned, with all of them varying between “Agree” and
“Totally Agree”.
Conclusion: The development and implementation of an educational module
to mediate learning, during the training process of anesthesiology residents,
were effective in promoting knowledge about patient safety for
anesthesiologists in training, with high levels of satisfaction. Thus, the
importance of including the topic of Patient Safety in the curricular structure
of residency courses in anesthesiology is highlighted, with protected space and time for the learning process of these professionals. Furthermore, more studies are needed that can measure the long-term impact of this intervention, its
influence on the acquisition of skills and whether these educational
interventions improve outcomes for patients.