感知医疗错误与居民痛苦和同情心的关联:一项前性的纵向研究
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
概括
医疗错误在居民中很常见,导致痛苦和倦怠. 痛苦和减少的同情心也会导致更多的错误感知,创造一个循环.
科学领域:
- 医学教育 医学教育
- 医生福利 医生福利
- 患者安全 患者安全
背景情况:
- 医疗错误与医生痛苦有关,但这种关系的程度和性质尚未得到充分理解.
- 了解这些关联对于改善医生福祉和患者安全至关重要.
研究的目的:
- 为了确定内部医学专科医生的自我感知医疗错误的频率.
- 检查自我感知医疗错误与居民的生活质量,倦怠,抑郁和同情心之间的关联.
主要方法:
- 一项前性纵向队列研究,涉及184名内科住院医生.
- 每季度的调查评估了自我感知的医疗错误和生活质量;每两年一次的调查使用验证的工具测量了倦怠,同情和抑郁.
主要成果:
- 34%的居民在研究期间报告了至少一个重大医疗错误.
- 自我感知错误与生活质量下降,倦怠增加和抑郁症的更高率相关.
- 增加的倦怠和减少的同情心与未来自我感知错误的可能性更高有关.
结论:
- 在居民中,自我感知的医疗错误很常见,并对他们的福祉产生重大影响.
- 在个人痛苦,同情心和被认为是医疗错误的发生之间存在相互关系.
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