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医疗专业人员向患者披露医疗错误:质量系统审查的协议
Guiru Chen1, Rongrong Huang2, Henyu Xiong3,4
1People's Hospital of Aba Tibetan and Qiang Autonomous Prefecture, Maerkang, Sichuan, China.
BMJ open
|October 12, 2024
概括
本系统性审查评估了医疗保健专业人员向患者披露医疗错误的经验. 调查结果将为伦理实践提供信息,并提高全球患者对医疗环境的信任.
科学领域:
- 医学伦理 医学伦理
- 患者安全 患者安全
- 医疗保健专业经验 医疗保健专业经验
背景情况:
- 医疗错误披露是一个核心的伦理原则,但在全球范围内不一致地应用.
- 现有的文献缺乏全面比较医疗保健专业人员的错误披露经验.
- 了解这些经验对于提高透明度和患者信任至关重要.
研究的目的:
- 系统地评估参与揭露医疗错误的医疗专业人员的经验.
- 确定医疗错误披露实践中常见的主题和挑战.
- 为提高伦理医疗实践和患者沟通提供见解.
主要方法:
- 从2000年到2024年对定性研究进行系统审查.
- 在多个国际数据库 (PubMed,Embase,Web of Science等) 中进行搜索. 和灰色文学.
- 利用乔安娜·布里格斯研究所 (JBI) 的方法来进行定性证据合成,包括真实性评估和数据提取.
主要成果:
- 该审查综合了医疗保健专业人员与医学错误披露的第一手经验的定性数据.
- 确定医疗专业人员在披露过程中遇到的促进者和障碍.
- 强调披露对专业实践和患者与提供者关系的影响.
结论:
- 医疗错误披露是复杂的,受到专业,机构和文化因素的影响.
- 有效的披露策略需要进一步开发和实施,以维护道德标准.
- 改善披露实践可以提高患者安全,加强医疗保健系统的完整性.
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