...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Medical Education >Undergraduate medical textbooks do not provide adequate information on intravenous fluid therapy: a systematic survey and suggestions for improvement
【24h】

Undergraduate medical textbooks do not provide adequate information on intravenous fluid therapy: a systematic survey and suggestions for improvement

机译：本科医学教科书未提供足够的静脉输液治疗信息：系统的调查和改进建议

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Inappropriate prescribing of intravenous (IV) fluid, particularly 0.9% sodium chloride, causes post-operative complications. Fluid prescription is often left to junior medical staff and is frequently poorly managed. One reason for poor intravenous fluid prescribing practices could be inadequate coverage of this topic in the textbooks that are used. Methods We formulated a comprehensive set of topics, related to important common clinical situations involving IV fluid therapy, (routine fluid replacement, fluid loss, fluids overload) to assess the adequacy of textbooks in common use. We assessed 29 medical textbooks widely available to students in the UK, scoring the presence of information provided by each book on each of the topics. The scores indicated how fully the topics were considered: not at all, partly, and adequately. No attempt was made to judge the quality of the information, because there is no consensus on these topics. Results The maximum score that a book could achieve was 52. Three of the topics we chose were not considered by any of the books. Discounting these topics as “too esoteric”, the maximum possible score became 46. One textbook gained a score of 45, but the general score was poor (median 11, quartiles 4, 21). In particular, coverage of routine postoperative management was inadequate. Conclusions Textbooks for undergraduates cover the topic of intravenous therapy badly, which may partly explain the poor knowledge and performance of junior doctors in this important field. Systematic revision of current textbooks might improve knowledge and practice by junior doctors. Careful definition of the remit and content of textbooks should be applied more widely to ensure quality and “fitness for purpose”, and avoid omission of vital knowledge.
机译：背景技术静脉注射（IV）液体，特别是0.9％氯化钠的处方不当会导致术后并发症。经常将液体处方留给初级医疗人员，并且经常管理不善。静脉输液处方不当的原因之一可能是所使用的教科书中对该主题的覆盖不足。方法我们制定了一套综合主题，涉及涉及静脉输液治疗的重要常见临床情况（常规输液，输液，输液过多），以评估常用教科书的适当性。我们评估了29种医学教科书，这些教科书广泛适用于英国的学生，对每本书提供的有关每个主题的信息进行了评分。分数表明了对主题的考虑程度：根本，部分和充分。由于在这些主题上尚未达成共识，因此未尝试判断信息的质量。结果一本书可以达到的最高分数是52。我们选择的三个主题没有被任何一本书考虑。撇开这些话题说“太深奥了”，最大可能的分数变成46。一本教科书获得45分，但总体得分很低（中位数11，四分位数4、21）。尤其是常规术后管理的覆盖面不足。结论针对大学生的教科书涵盖了静脉治疗的主题，这可能部分解释了初级医生在这一重要领域的知识和表现不佳。当前教科书的系统修订可能会提高初级医生的知识和实践水平。对职权范围和教科书内容的仔细定义应更广泛地应用，以确保质量和“适合目的”，并避免遗漏重要知识。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号