中国医生和护士中自我报告的医疗错误的发生率和相关因素:一个横截面调查
Zejun Li1, Liyan Liu2,3,4, Xiaoyu Zhang5
1Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, the Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Annals of medicine
|December 26, 2024
概括
医疗错误在中国医疗保健专业人员中很常见. 诸如男性性别,医生地位和工作场所暴力等因素会增加ME风险,而婚姻和经验会降低它.
科学领域:
- 医疗安全研究 医学安全研究
- 医疗保健专业的研究研究.
- 公共卫生 公共卫生
背景情况:
- 医疗错误 (ME) 对患者安全构成重大全球威胁.
- 了解导致中小企业的因素对于开发有效的干预措施至关重要.
研究的目的:
- 调查与中国医生和护士自我报告的医疗错误相关的多维因素.
- 确定影响中国医疗保健环境中医疗错误发生的风险和保护因素.
主要方法:
- 针对中国的7197名医生和护士 (2020年10月至2022年4月) 进行了一项横截面在线调查.
- 数据包括过去三个月中自报的中小企业,社会人口统计数据,与工作相关的因素和精神困扰.
- 用一步后勤回归分析来确定相关因素.
主要成果:
- 17.9%的参与者报告了ME. 更高的ME概率与男性性别,医生身份,精神疾病史,更长的工作时间,工作场所暴力以及对工作环境的不满有关.
- 相反,结婚,高等教育和更多的专业经验与较低的ME几率有关.
- 经期经验与倦怠,抑郁症状,感知到的压力和过度的白天嗜睡有积极的相关性.
结论:
- 在中国的医生和护士中,自我报告的医疗错误很普遍.
- 糟糕的工作条件和精神困扰显著增加了医疗错误的风险.
- 针对工作场所改进和心理健康支持的干预措施对于减少医疗错误和提高患者安全至关重要.
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