确保职业生涯末期医生的安全实践:机构政策和实施经验
Andrew A White1, Thomas H Gallagher2, Paulina H Osinska3
1Department of Medicine, University of Washington School of Medicine, Seattle, Washington (A.A.W.).
Annals of internal medicine
|November 4, 2024
概括
对于职业生涯末期的医生 (LCP) 的政策在医疗机构中很常见,但在实施细节上有所不同. 领导者发现它们是成功的,尽管医生买入和明确的程序对于有效的监督至关重要.
科学领域:
- 医疗专业主义 医疗专业主义
- 医疗保健政策 医疗保健政策
- 医生表现的表现 医生表现
背景情况:
- 职业生涯晚期的医生 (LCP) 可能会对患者安全构成风险.
- 医疗保健组织 (HCO) 实施LCP监督政策.
- 我们对这些政策的内容和实施知之甚少.
研究的目的:
- 描述LCP政策的关键特征.
- 了解医疗领导者对LCP政策制定和实施的观点.
主要方法:
- 混合方法研究.混合方法研究.
- 来自29个美国HCO的LCP政策的内容分析.
- 关键告密者采访了21名领导医生.
主要成果:
- 这些政策有共同点,例如70岁左右的强制性查,以及对患者安全的关注.
- 在测试,资助和选后的过程中存在显著的差异.
- 领导人报告了预防性退休,并强调了医生买入的必要性.
结论:
- 机构领导人认为LCP政策是成功的.
- 政策变化和实施经验为改善医生接受度和程序严格性提供了见解.
相关概念视频
01:23Nurses' Legal Responsibilities II
686
Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and...
Communication between nurses and...
686
01:09Accountability and Responsibility of a Nurse II
672
Professional accountability in nursing is a multifaceted concept that encompasses professional ethics, legal standards, and employment expectations. This framework ensures that nurses maintain and elevate the quality of care while upholding the values of their profession. It compels them to treat patients, families, and colleagues with respect, compassion, and integrity.
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide...
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide...
672
01:30Ethical Dilemmas II
937
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
937
01:08Obedience
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
01:19Standards of Care II
635
Nurses bear specific legal responsibilities under several federal statutes, including:
635
01:22Healthcare Associated Infections II: Preventive Measures
2.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.5K