在安全网的过程中传达诊断不确定性的作用:从小幅研究的见解
Caitríona Cox1, Thea Hatfield2, Zoë Fritz2
1The Healthcare Improvement Studies Institute, University of Cambridge, Cambridge, UK clc70@cam.ac.uk.
BMJ quality & safety
|September 5, 2024
概括
医生在如何保护患者的安全网上有所不同,经常忽略对诊断不确定性的讨论. 这种做法虽然旨在防止伤害,但可能无法完全解决患者的担忧或诊断错误.
科学领域:
- 医学沟通 医学沟通
- 诊断不确定性管理的管理
- 患者安全 患者安全
背景情况:
- 安全网旨在减轻与诊断不确定性相关的风险.
- 目前的建议建议在安全网期间沟通诊断不确定性,但这不一致地应用.
研究的目的:
- 调查医生如何实施安全网策略.
- 探索医生关于诊断不确定性的沟通选择的根本原因.
主要方法:
- 36名内科医生收到了描述诊断不确定性的临床图片.
- 采访探讨了医生的沟通方法和安全网的理由.
- 用内容和主题分析来检查沟通模式和原因.
主要成果:
- 在医生之间观察到安全网实践的显著差异.
- 在安全网期间,诊断的不确定性很少被明确地传达给患者.
- 医生表示担心导致患者焦虑或过度调查.
结论:
- 医生的安全网方法不同,即使具有相同的临床信息.
- 对患者焦虑的担忧可能会限制诊断不确定性的明确沟通.
- 需要进一步的研究来评估沟通不确定性对安全网的有效性和患者焦虑的影响.
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