副作用和被认为是遗弃:从患者的医疗事故讲述中学习
Mark Schlesinger1, Isha Dhingra2, Barbara A Fain3
1Yale University Yale School of Public Health, New Haven, Connecticut, USA.
BMJ open quality
|August 15, 2024
概括
医疗错误可能导致被遗弃的感觉,影响患者的信任和提供者关系. 解决患者遗弃问题对于提高安全性和在不良事件后重建治疗联盟至关重要.
科学领域:
- 医疗保健质量和患者安全
- 医学伦理学医学伦理学
- 医疗服务研究 医疗服务研究
背景情况:
- 每年,不良医疗事件会影响许多美国家庭,造成伤害并改变患者的态度.
- 医疗错误对患者和护理伙伴被遗弃的感觉的影响仍然被低估.
研究的目的:
- 探索提供者,患者和家庭对医疗事故的反应.
- 将这些反应与被遗弃的感觉及其后果联系起来.
主要方法:
- 马萨诸塞州医学错误重新接触调查数据的混合方法分析.
- 包括在过去五年内报告医疗错误的253名参与者.
- 利用封闭式和开放式问题,包括关于被遗弃感的具体查询,并对答案进行定性编码.
主要成果:
- 34.5%的受访者最初感到被遗弃,20%的人持续经历这种感觉.
- 遗弃感源于医疗事故发生之前 (18%),期间 (34%) 和之后 (45%) 的互动.
- 感觉到放弃的患者更有可能更换提供者 (68.4%),而放弃占事件后失去信任的一半.
结论:
- 解决患者遗弃问题对于患者安全倡议至关重要.
- 在不良事件发生后加强患者参与,可以加强治疗联盟.
- 调查数据可能低估了错误对弱势群体的影响.
相关概念视频
Types of Reports II: Incident or Occurrence Report
809
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
809
Ethical Issues
879
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
879
Torts I
1.2K
Torts in nursing are wrongful acts that can harm patients and potentially lead to civil liability for the involved nurse. These wrongful acts range from unintentional errors to deliberate actions. Depending on the nature and severity of the tort, a nurse found liable may face financial penalties or disciplinary actions. Understanding the distinctions between intentional, quasi-intentional, and unintentional torts is crucial for nurses to mitigate risks and provide safe patient care.
Intentional...
Intentional...
1.2K
Obedience
32.8K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.8K
Legal Guidelines for Documentation
1.3K
The legal guidelines for nursing documentation are essential for ensuring accurate, professional, and ethical recording of patient care. The guidelines are discussed here:
1.3K
Errors occurring during blood pressure monitoring
646
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
646


