認知された医療ミスと居住者の苦痛と共感の関連:将来的な縦断研究
Colin P West1, Mashele M Huschka, Paul J Novotny
1Division of General Internal Medicine, Department of Medicine, Mayo Clinic College of Medicine, Rochester, Minn 55905, USA. west.colin@mayo.edu
JAMA
|September 7, 2006
まとめ
医療上の誤差は住人の間で一般的であり,苦痛とバーンアウトを引き起こす. 苦悩と同情の低下は,また,より多くの認識されたエラーにつながり,サイクルを作成することができます.
科学分野:
- 医療教育 医療教育について
- 医者の福祉について
- 患者の安全性についてです.
背景:
- 医学的誤差は医師の苦痛と関連していますが,この関係の範囲と性質はよく理解されていません.
- これらの関連性を理解することは,医師の福祉と患者の安全を改善するために不可欠です.
研究 の 目的:
- 内科のレジデントの間で自己認識の医療ミス頻度を決定する.
- 自己認識の医療ミスと住民の生活の質,バーンアウト,うつ,共感の間の関連性を調べる.
主な方法:
- 184人の内科リジデントを対象とした前向きの縦断的なコホート研究.
- 四半期調査は,自己認識の医療ミスと生活の質を評価し,半年調査は,検証されたツールを使用してバーンアウト,共感,うつ病を測定しました.
主要な成果:
- 住民の34%は,研究中に少なくとも1つの主要な医学的エラーを報告しました.
- 自己認識の誤りは,生活の質の低下,バーンアウトの増加,うつ病の発生率の上昇と相関しています.
- 燃え尽きした状態の増加と同情の低下は,将来の自己認識の誤りの可能性が高いことと関連していました.
結論:
- 住人の間では,自己認識の医療ミスが頻繁に発生し,彼らの健康に大きく影響を与えます.
- 個人的な苦痛,共感,そして医学的誤差の発生との間には,相互の関係が存在します.
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