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The challenge of introducing a hand hygiene standard to clinical examinations.

机译：将手卫生标准引入临床检查的挑战。

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International health organizations increasingly emphasize the importance of hand hygiene in patient safety yet as educators we have been slow to adopt this in undergraduate teaching and even slower to apply it as an examination standard. The undergraduate clinical examination observed by physician examiners is designed to test clinical competency. At the National University Hospital in Singapore, we introduced into our examiner standardisation workshops and our marking template a provision whereby marks were to be deducted for failed hand hygiene, as we believed patient safety behavior should not be dissociated from or confused with clinical competence. (Feather et al. 2000) In assessing examiner behavior during the 2010 final MBBS examinations, we found a great reluctance to penalize students for the safety breaches. Over the course of the examination day, 128 examiners observed 218 students in two pediatric and three adult medicine short cases across three hospitals in Singapore.
机译：国际卫生组织越来越强调手部卫生在患者安全中的重要性，但作为教育工作者，我们在本科教学中采用这种方法的步伐很慢，而将其用作考试标准的步伐也较慢。医生检查员观察到的本科临床检查旨在测试临床能力。在新加坡国立大学医院，我们在检查员标准化工作坊和标记模板中引入了一项规定，根据该规定可以扣除手部卫生不良所引起的标记，因为我们认为患者安全行为不应与临床能力相分离或混淆。 （Feather et al。2000）在评估2010年MBBS最终考试期间考官的行为时，我们发现极不愿意对学生的安全违规行为进行处罚。在考试的过程中，有128名检查员在新加坡三所医院的2例儿科和3例成人医学短病例中观察了218名学生。

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