医疗保健利益相关者在向历史边缘化的患者披露错误和不良事件方面的经验和看法
Kristan Olazo, Thomas H Gallagher1, Urmimala Sarkar
1Division of General Internal Medicine, Department of Medicine, University of Washington, Seattle, Washington.
Journal of patient safety
|November 3, 2023
概括
医疗保健利益相关者面临的挑战是应对边缘化患者的伤害. 需要适当的文化工具和培训来有效地披露错误,并重建患者的信任.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 卫生公平性健康公平性
背景情况:
- 历史上被边缘化的患者群体在医疗保健中遭受了重大伤害.
- 有效的反应和错误的披露对于患者的信任和安全至关重要.
研究的目的:
- 评估医疗保健利益相关者的经验,以应对边缘患者的伤害.
- 为这些人群确定错误和不良事件披露的挑战和需求.
主要方法:
- 与前线临床医生 (n=7) 和风险/患者安全专业人员 (n=5) 进行了焦点小组.
- 利用诱导性定性分析来识别与披露挑战和所需资源相关的主题集群.
主要成果:
- 利益相关者确定了多层次的挑战,包括分散的护理,缺乏标准化的协议和患者的不信任.
- 希望的资源包括文化适当的工具包,披露培训和多学科团队参与.
结论:
- 为了及时披露所有患者群体的错误和不良事件,需要进行多次干预.
- 未来的研究应该包括边缘化的患者和家庭在披露过程中的观点.
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