从国家数据库对瘤医生提出的医疗失误索赔的分析:对更安全的实践的影响
Jim W Doolin1, Adam C Schaffer2, Roy B Tishler3
1Lahey Hospital and Medical Center, Hematology/Oncology, Burlington, USA.
概括
与其他内科专家相比,针对瘤科医生 (MO) 的医疗失误索赔显示了类似的支付率和金额. 关键的患者安全问题包括认知错误,不良药物事件和通信问题.
科学领域:
- 医疗不当行为 医疗不当行为
- 患者安全 患者安全
- 在瘤学瘤学.
背景情况:
- 错误执业索赔提供了对患者安全的见解.
- 分析重点是针对医疗瘤学家 (MO) 的索赔.
研究的目的:
- 与其他内部医学子专业 (OIMS) 进行对比.
- 确定与MO索赔中赔偿金支付相关的因素.
- 将安全事件分类学应用于医疗失误数据.
主要方法:
- 对国家不良做法索赔数据 (2008-2019) 的混合方法分析.
- 对MO索赔 (n=456) 与OIMS索赔 (n=5771) 的比较.
- 使用安全事件分类学进行后勤回归和主题分析.
主要成果:
- MO索赔以与OIMS (29.8%对30.3%) 相似的赔偿金支付而关闭.
- 在MO和OIMS之间,中位赔偿金支付是可比的.
- 促成MO索赔的因素包括患者评估,提供者沟通和安全问题.
- 常见的安全事件包括提供者的认知错误,不良药物事件和关系问题.
结论:
- 医疗瘤学家的医疗失误索赔结果与其他内科专家的结果相似.
- 安全事件分类学可以有效地应用于不当行为数据.
- 减少认知错误,药物不良事件和沟通问题是更安全的癌症护理的优先事项.
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