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住户疲劳和痛苦与感知到的医疗错误的关联
Colin P West1, Angelina D Tan, Thomas M Habermann
1Division of General Internal Medicine, Department of Medicine, Mayo Clinic, 200 First St, SW, Rochester, MN 55905, USA. west.colin@mayo.edu
JAMA
|September 24, 2009
概括
内科住院人员的疲劳和痛苦增加独立地与自我报告的医疗错误增加有关. 这些因素显著影响患者安全和医生福祉.
科学领域:
- 医学教育研究 医学教育研究
- 患者安全 患者安全
- 医生福利 医生福利
背景情况:
- 疲劳和痛苦是医学错误的已知危险因素.
- 疲劳和痛苦对医疗错误的综合影响仍然不清楚.
研究的目的:
- 调查疲劳和痛苦与自我认知的重大医疗错误的独立关联.
- 利用验证的指标来评估住院医生的这些因素.
主要方法:
- 潜在的纵向队列研究,涉及内科住院医生.
- 采用了针对疲劳,焦虑,倦怠,嗜睡,生活质量和自我报告的医疗错误的验证调查.
- 用通用估计方程来分析重复测量数据.
主要成果:
- 39%的居民报告至少有一次重大医疗错误.
- 增加的疲劳,倦怠,抑郁症症状和生活质量下降显著与更高的错误率有关.
- 当一起分析时,疲劳和痛苦仍然独立地与错误相关.
结论:
- 疲劳和痛苦的升高水平是内科医生自我认知的医疗错误的独立预测因素.
- 解决医生的疲劳和痛苦对于提高患者安全和医疗质量至关重要.
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