医生如何谈论医疗错误:对初级医生经验的定性研究
Jane Ege Møller1, Linda Marie Kai2, Mads Skipper3
1Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Qualitative health research
|November 14, 2024
概括
初级医生发现医疗错误具有挑战性,并且很难公开讨论这些问题. 尽管人们渴望建立一个公正的文化,但责备和内阻碍了医疗保健专业人员之间的错误沟通和学习.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 由于内和责怪,医生面临管理医疗错误的挑战.
- 同事之间的有效沟通对于应对错误和培养公正文化至关重要.
- 了解初级医生的错误经历对于他们的支持和学习至关重要.
研究的目的:
- 探索初级医生对医疗错误的看法和经验.
- 调查初级医生如何概念化错误,并与同事讨论这些问题.
- 了解影响医学培训中的错误沟通的背景.
主要方法:
- 定性,探索性研究设计.
- 七个虚拟焦点小组与11个专业的22名初级医生进行了讨论.
- 专题分析以确定与错误概念化和沟通相关的关键主题.
主要成果:
- 初级医生认为医疗错误具有挑战性,但在清晰的定义方面扎.
- 关于错误的讨论各不相同,有些是建设性的 (支持,教育),有些是破坏性的 (责备,羞耻).
- 在寻求将错误规范化和实际缺乏对等共享之间存在差距.
结论:
- 医疗错误对初级医生的临床实践导航构成了复杂的挑战.
- 目前努力建立一个开放和公正的医疗保健文化尚未完全解决错误通信障碍.
- 需要进一步的策略来支持初级医生从医疗错误中学习并有效地沟通.
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