远离责怪文化:管理医疗错误的前进之路
Aimi Nadia Mohd Yusof1, Hazdalila Yais Haji Razali1
1Department of Medical Ethics and Law, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Sungai Buloh, Selangor, Malaysia.
The Malaysian journal of medical sciences : MJMS
|January 20, 2025
概括
从责备文化转变为对医疗错误相关的医疗保健专业人员提供支持的方法至关重要. 这一变化促进了公开披露和学习,有利于患者的安全和支持.
科学领域:
- 医学伦理 医学伦理
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 医疗保健中普遍存在的责怪文化不鼓励公开披露医疗错误.
- 对诉讼的恐惧加剧了医疗保健专业人员不愿报告错误的不情愿.
- 参与错误的医疗保健专业人员,被称为"第二受害者",需要支持.
研究的目的:
- 倡导文化转变,不再将医疗错误归咎于医疗保健专业人员.
- 强调需要为医疗错误的"第二受害者"提供支持系统.
- 在医疗错误后促进有利于学习和成长的环境.
主要方法:
- 医疗错误后果的伦理分析.
- 审查当前的医疗保健实践关于错误披露.
- 讨论对医疗保健专业人员的心理影响.
主要成果:
- 当前的责怪文化阻碍了从医疗错误中学习.
- 对错误的公开披露对于改善患者护理至关重要.
- 支持"第二个受害者"对于一个有弹性的医疗保健系统至关重要.
结论:
- 对于医疗保健来说,向一个支持的,不责怪的文化过渡是必不可少的.
- 优先支持"第二个受害者"提高了患者安全和专业福利.
- 医疗错误的有效管理需要关注学习和支持,而不仅仅是问责制.
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