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仔细观察道歉在错误披露中的作用:一个模拟研究
Sarah E Shannon1, Sherry Espin2, Ben S Dunlap3
1Mark and Robyn Jones College of Nursing, Montana State University, Bozeman, MT, United States.
Frontiers in health services
|June 18, 2025
概括
临床医生在医疗错误披露过程中提供道歉,将其与患者的痛苦联系起来,以获得更大的影响. 培训应强调这种以患者为中心的方法,以改善伤害后的沟通.
科学领域:
- 医学沟通 医学沟通
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 在医疗错误发生后,开放的沟通和真诚的道歉至关重要.
- 披露对话和真诚的道歉给医疗保健专业人员带来了挑战.
研究的目的:
- 在医疗错误披露期间分析临床医生沟通策略.
- 检查这些披露期间所涉及的道歉的时间,内容和参与者.
主要方法:
- 49个医生护士团队的视频记录模拟向患者演员披露错误.
- 使用Atlas-Ti软件分析披露对话,编码沟通方法和道歉.
主要成果:
- 临床医生遵循一致的披露结构,平均提供2-3个道歉.
- 在所有披露过程中,医生和护士都发起了道歉.
- 道歉与患者的痛苦,职业目标和组织透明度有关.
结论:
- 道歉是医疗错误披露的组成部分,可以在战略上定时和上下文化.
- 将道歉与患者的痛苦联系起来,可能会提高人们对道歉的真实性和有效性.
- 需要加强培训和指导方针,以支持临床医生提供有效的披露和道歉.
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