ABSTRACT
La formación en seguridad del paciente durante la residencia contribuye a la cultura de la seguridad y a la calidad asistencial. Un currículum para formar en seguridad incorpora distintas actividades formativas a lo largo de la especialidad y adecuadas a cada momento: cursos, talleres, sesiones de incidente crítico, rondas de seguridad, que se han descrito anteriormente, y simulación. La simulación permite el entrenamiento seguro de situaciones clínicas complejas en equipos multiprofesionales. Estructurar el aprendizaje de factor humano mediante el manejo de recursos en las crisis, y proporcionar feedback en el debriefing mejora la competencia. La simulación puede formar parte de la evaluación formativa objetiva de los residentes. Se ha demostrado que tiene resultados en el desempeño de los profesionales sanitarios, mejora la calidad de la asistencia y tiene efectos sobre los pacientes
Patient safety training during residency contributes to the culture of safety and quality of care. Patient safety curriculum incorporates different activities throughout the specialty and appropriate to each moment: courses, workshops, critical incident sessions, safety rounds, which have been described above, and simulation. The simulation allows the safe training of complex clinical situations in multiprofessional teams. Structure the learning of human factor through the management of resources in crises, and provide feedback in debriefing improves competition. The simulation can be part of the objective formative evaluation of the residents. It has been shown to have results in the performance of health professionals, improves the quality of care and has effects on patients
Subject(s)
Patient Safety/standards , Internship and Residency , Patient Simulation , Manikins , Simulation Training/methods , 28574/history , High Fidelity Simulation Training/history , Simulation Training/historyABSTRACT
Georg Schlöndorff (1931-2011) developed the idea of computer-assisted surgery (CAS) during his time as professor and chairman of the Department of Otorhinolaryngology at the Medical Faculty of the University of Aachen, Germany. In close cooperation with engineers and physicists, he succeeded in translating this concept into a functional prototype that was applied in live surgery in the operating theatre. The first intervention performed with this image-guided navigation system was a skull base surgical procedure 1987. During the following years, this concept was extended to orbital surgery, neurosurgery, mid-facial traumatology, and brachytherapy of solid tumors in the head and neck region. Further technical developments of this first prototype included touchless optical positioning and the computer vision concept with three orthogonal images, which is still common in contemporary navigation systems. During his time as emeritus professor from 1996, Georg Schlöndorff further pursued his concept of CAS by developing technical innovations such as computational fluid dynamics (CFD).
