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影响医疗住院人员下班后工作决策的因素
Michele M Carr1, Anne M Foreman2, Jonathan E Friedel3
1From the Department of Otolaryngology, Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo, Buffalo, New York.
Journal of patient safety
|December 20, 2023
概括
主治医生的反显著影响住院人员在休息后休息的决定,影响遵守医学研究生教育认证委员会 (ACGME) 的工作时间限制 (WHRs). 提高安全文化可以提高对这些重要患者安全指南的遵守.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 居民福利 居民福利
背景情况:
- 研究生医学教育认证委员会 (ACGME) 的工作时间限制 (WHRs) 旨在通过减轻居民疲劳来提高患者安全.
- 对ACGME女性人权的遵守在各机构之间是不一致的.
研究的目的:
- 确定影响居民关于休息后休息日 (PCD) 的决定的因素,与ACGME WHRs保持一致.
- 量化各种因素对居民选择使用PCDs的影响.
主要方法:
- 2019年,在一所大学向433名居民分发了一项调查,其中包含人口统计问题和离散选择实验.
- 离散选择实验旨在评估对居民决定接受PCD的影响.
主要成果:
- 对PCD使用的积极主治医生反是最强的积极影响因素 (27.3%的概率增加).
- 关于PCD使用的负面反 (14.3%的下降) 和护理连续性的担忧 (10.8%的下降) 是重要的威因素.
- 首席居民对居民疲劳和缺乏出席反的评论也影响了决策.
结论:
- 临床医生反是居民决定服用PCD的至关重要因素.
- 通过培养支持性住院计划安全文化,鼓励PCD利用,可以提高对WHR的遵守.
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