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在医疗保健环境中出现不专业的行为,可能需要立即调查,询问或干预
Cynthia A Baldwin1, Thomas F Catron2, Gerald B Hickson2
1Center for Patient and Professional Advocacy, Vanderbilt University Medical Center, Nashville, Tennessee, USA cynthia.a.baldwin@vumc.org.
BMJ leader
|April 25, 2025
概括
医疗机构可以通过实施集体流程来改善对严重不专业行为的反应. 这种结构化的方法确保了一致的调查和干预,增强了利益相关者之间的信任和沟通.
科学领域:
- 医疗保健管理的管理
- 组织行为 组织行为
- 患者安全 患者安全
背景情况:
- 医疗保健机构的不专业行为对组织,员工和患者构成重大风险.
- 一致的流程对于及时调查和干预歧视,敌对环境和边界侵犯等问题的关键.
研究的目的:
- 评估对有关非专业行为事件报告的初始处置的集体流程的实施.
- 评估这一过程对组织响应的一致性和利益相关者沟通的影响.
主要方法:
- 一项涉及五个卫生系统在国家专业合作的描述性研究.
- 在定义的研究期间实施和完善事件报告审查的集体流程.
- 收集关于聚集频率,报告类型和流程调整的数据.
主要成果:
- 进行了219次汇集,占处理报告的不到1%.
- 歧视 (30%) 和敌对的工作环境 (29%) 是聚集的最常见原因.
- 其他关键原因包括侵略性行为 (15%) 和侵犯性边界 (13%).
结论:
- 实施集体流程将对严重的不专业行为指控的回应进行标准化.
- 这种方法减少了响应的变化,并提高了关键组织利益相关者之间的沟通和信任.
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