监督,安排,满意度和共享工作:初级医生的经验如何与NHS内的过度死亡率有关
Jack Charles Barton1, Daniel Richardson2, Amber Elyse Corrigan2
1Auckland City Hospital, Auckland, New Zealand JackBa@adhb.govt.nz.
Clinical medicine (London, England)
|December 8, 2023
概括
实习医生对临床监督和团队工作的看法与过多的患者死亡有关. 改善这些领域可能有助于降低医疗机构的死亡率.
科学领域:
- 医疗保健质量和患者安全研究.
- 医学教育和劳动力研究.
- 公共卫生和死亡率分析.
背景情况:
- 过度的患者死亡率是医疗保健中的一个关键问题.
- 了解影响患者结果的因素对于质量改善至关重要.
- 实习医生的经验可能与机构的表现有关.
研究的目的:
- 调查实习医生的看法与患者过度死亡率之间的关系.
- 确定与患者死亡率相关的实习生经验的具体方面.
- 为减少可预防的死亡减少潜在干预措施提供信息.
主要方法:
- 分析了81个NHS机构 (2012-2019) 的数据.
- 利用公开可用的关于死亡率和学员满意度的数据库.
- 使用Pearson的相关系数来评估关联.
主要成果:
- 实习生认知与过度死亡率之间发现了显著的负相关性.
- 临床监督 (超时和整体) 和团队工作显示出最强的负相关性.
- 关联在多年内保持一致,表明关系稳定.
结论:
- 实习医生对临床监督,团队合作和轮班设计的看法始终与患者过度死亡率有关.
- 这些发现表明了改善患者安全的干预措施的潜在目标.
- 医疗机构应该考虑实施基于证据的干预措施来解决这些问题.
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