患者投诉和医疗失误风险
Gerald B Hickson1, Charles F Federspiel, James W Pichert
1Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN 37232, USA. Gerald.Hickson@mcmail.vanderbilt.edu
JAMA
|June 8, 2002
概括
医生的医疗失误风险与患者的投诉有关. 追踪未经请求的患者反可以帮助识别有更高风险的医生对不当行为索赔和改善患者护理.
科学领域:
- 医疗失误是医疗失误的原因.
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
背景情况:
- 一部分医生面临着不成比例的医疗疏忽索赔.
- 误诊风险可能与患者对人际行为,护理和接入的不满有关.
研究的目的:
- 调查医生患者投诉记录与他们的风险管理经验之间的关联.
主要方法:
- 在6年内对645名医生进行了回顾性的纵向队列研究.
- 分析计算机化未经请求的患者投诉和风险管理记录.
- 逻辑回归来评估与临床活动调整的相关性.
主要成果:
- 与非外科医生相比,外科医生对患者投诉和风险管理事件的比例更高.
- 患者投诉与风险管理文件的开放,支出和诉讼有显著的相关性,即使经过对临床活动进行调整.
- 预测模型显示,基于投诉数据,识别风险管理事件的一致性很高.
结论:
- 医疗小组记录的未经请求的患者投诉与医生的风险管理经验有积极的关联.
- 患者投诉数据可以作为潜在的监测工具,用于医生失职风险.
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