一个医生进行改进计划,以解决医疗保健环境中的破坏性行为
Morris Kharasch1, Lindsay T Fazio2, Tabitha Rosca1
1Department of Emergency Medicine, Endeavor Health, Evanston Hospital, Evanston, IL.
概括
一个医生行为计划通过解决专业行为来提高医疗保健质量. 这一举措促进了积极的文化,减少了担忧,增强了团队合作和患者护理.
科学领域:
- 医疗保健管理的管理
- 医学教育 医学教育
- 专业道德 职业道德 专业道德
背景情况:
- 越来越需要解决高质量医疗保健的专业行为问题.
- 支持性的组织文化对医生福祉和绩效的重要性.
- 以前的医生行为方法缺乏系统的框架.
研究的目的:
- 实施和评估旨在减少行为问题的医生行为计划.
- 培养一个医生能够壮成长的组织文化.
- 创建一个统一和系统的资源,用于管理专业行为.
主要方法:
- 建立一个训练有素的团队,一个事件报告系统和一个医生咨询委员会.
- 探索报告的事件的根本原因,观点和纠正策略.
- 在四年内分析了583起投诉.
主要成果:
- 该计划成功地为解决医生行为提供了一个系统的资源.
- 关键的投诉类别包括不礼貌的评论 (52%),不礼貌的互动 (23%) 和沟通问题 (15%与同事,5%与患者).
- 违反组织政策占了5%的投诉.
结论:
- 医生行为计划是卫生系统的宝贵资源.
- 该计划与团队合作,团队合作和患者护理卓越的组织目标保持一致并支持这些目标.
- 系统地管理专业行为对于维持医疗保健的高标准至关重要.
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