医生专业差异在非专业行为观察和报告的同事
William O Cooper1, Gerald B Hickson2, Roger R Dmochowski3
1Departments of Pediatrics and Health Policy, Center for Patient and Professional Advocacy, Vanderbilt University Medical Center, Nashville, Tennessee.
JAMA network open
|June 6, 2024
概括
不到10%的医生收到了同事报告的不专业行为. 监测这些报告有助于医疗保健领导者识别和支持需要干预的团队成员.
科学领域:
- 医学教育 医学教育
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 医疗保健中的不专业行为与患者并发症,错误处理索赔和临床医生的健康问题有关.
- 鉴别出有关行为的医生对于医疗保健领导人提供支持和保持安全环境至关重要.
研究的目的:
- 分析表现出非专业行为的医生按专业的分布,如同事安全报告所述.
- 了解不同医生专业的安全报告的普遍性.
主要方法:
- 一项回顾性队列研究,利用2018年1月至2022年12月的同事关注观察报告系统 (CORS) 的数据.
- 分析包括35120名医生跨越各种专业,检查与沟通,专业责任,医疗护理和诚信有关的报告.
- 使用后勤回归来确定收到报告的几率,医生被分为非外科医生非程序员,急诊医学,非外科医生程序员和外科医生.
主要成果:
- 总体而言,9.1%的医生 (35120名中3179名) 收到了至少一个同事报告.
- 外科医生 (13.8%) 和非外科医生程序员 (12.0%) 与非外科医生非程序员 (5.6%) 和急诊医学医生 (10.9%) 相比,报告率更高.
- 专注于儿科的非外科医生非程序主义者与非儿科同行 (6.0%) 相比,与报告 (3.6%) 相联系的可能性明显较小.
结论:
- 研究队伍中不到10%的医生收到了有关不专业行为的同事报告.
- 这些发现强调了监测同事报告的价值,作为医疗保健组织识别需要支持和干预的医生的机制.
- 根据专业特定的报告趋势,可以开发有针对性的干预措施和支持系统.
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