[在医学专家培训期间应对临床错误:第二个受害者现象]
Óscar Valer Monterde1, Carlos Aibar Remón2
1Hospital Infantil Universitario Miguel Servet. Zaragoza, Spain. oscarvalermonterde@gmail.com.
Archivos de prevencion de riesgos laborales
|March 3, 2025
概括
医疗错误影响医生,而不仅仅是患者. 这项研究发现,医疗人员在错误后经历了严重的痛苦,作为"第二个受害者",强调需要更好的支持系统和患者安全培训.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 职业健康 职业健康 职业健康
背景情况:
- 医疗错误的后果远远超出了受影响的患者.
- 参与错误的医疗保健专业人员可能会遭受重大的个人和专业后果.
- 了解住院医生作为'第二个受害者'的经历,对于改善医疗保健系统至关重要.
研究的目的:
- 分析住院医生 (Médicos Internos Residents - MIR) 之间发生的患者安全事件.
- 评估这些事件对居民作为第二受害者幸福感的影响.
- 确定收到的支持和相关因素.
主要方法:
- 使用在线调查进行横截面研究.
- 调查分发给2023年1月在萨拉戈萨的两个医院的所有MIR.
- 描述和推断统计分析 (参数和非参数测试).
主要成果:
- 43名 (10.2%) 的参与者报告至少发生了一起患者安全事故.
- 在老年居民中观察到的多重不良事件的更高率 (p=0.01).
- 常见的"第二受害者"症状包括焦虑,临床不确定性,过度警,疲劳和内.
- 医疗专业的住院居民认为支持的可能性比手术更大 (p=0.002);20.9%的人在错误后没有得到支持.
结论:
- 临床错误是训练医生的一个重要问题.
- 需要加强患者安全和错误管理培训.
- 需要同行和专业支持计划,职业健康服务的关键作用.
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