伤害后的人性化过程第1部分:患者安全事件调查,诉讼和受影响者的经历
Lauren Ramsey1, Laura Sheard2, Justin Waring3
1Yorkshire and Humber Patient Safety Research Collaboration, Bradford Institute for Health Research, Bradford, United Kingdom.
Frontiers in health services
|January 20, 2025
概括
医疗保健事件调查经常使受影响者失败,导致痛苦和意外的诉讼. 优先考虑患者和工作人员的需求,以及评估调查员的角色,对于改善安全和支持至关重要.
科学领域:
- 医疗保健安全 医疗保健安全
- 患者的体验 患者的体验
- 医疗保健的法律方面
背景情况:
- 越来越多的国际政策重点是让受医疗保健安全事件影响的人参与调查.
- 基于英国长期经验和此类事件后的诉讼决策的有限证据.
研究的目的:
- 探索患者,家属,工作人员和法律代表的经历,这些经历随着时间的推移而受到医疗保健安全事件的影响.
- 确定影响安全事件后诉讼决策的因素.
主要方法:
- 与42名参与者 (患者,家庭,工作人员,法律代表,调查人员) 进行了定性半结构面试.
- 通过NHS信托,独立调查员,慈善机构,社交媒体和口碑进行有目的的招聘.
- 采访数据的感应反射主题分析.
主要成果:
- 患者和家人感到无能为力,在调查中缺乏支持和知识.
- 对诉讼的恐惧没有满足需求,有时会促使采取法律行动.
- 工作人员经历了排斥和不完整的叙述;调查人员感到被低估.
- 组织议程往往取代了受影响者的需求.
结论:
- 事件调查忽视了情绪上的痛苦,造成了复杂的伤害.
- 建议包括优先考虑受影响的个人,减少诉讼恐惧,评价调查人员,解决社会不平等问题.
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