错误披露:居民说什么,患者发现什么有效
Emily Grossniklaus1, Angelo D'Addario2, Ann King2
1Department of Medicine, VA Puget Sound Healthcare System and University of Washington School of Medicine, Seattle, WA, United States.
Frontiers in health services
|July 7, 2025
概括
医疗人员往往错过了有效地向患者披露错误的机会. 同理心,问责和道歉是提高患者医疗错误披露评级的关键沟通要素.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 沟通技巧 沟通技巧 这些技巧
背景情况:
- 医疗错误披露是一个关键的技能,在医疗培训中没有得到充分的解决.
- 基于视频的通信评估 (VCA) 软件有助于培训和评估错误披露沟通.
- 了解患者对披露反应的偏好至关重要.
研究的目的:
- 分析医疗人员在披露假设医疗错误时使用的语言.
- 识别导致非专业人士评价更高的沟通要素.
- 评估专家建议与患者价值的披露行为之间的一致性.
主要方法:
- 对102名住院医生对延迟诊断的反应进行主题内容分析.
- 对三个连续的视频提示的响应中评估特定的主题.
- 线性回归分析以确定专业人士评级的主题的预测值.
主要成果:
- 大多数居民包括道歉 (90.2%) 和同情 (96.1%).
- 较少的居民承认延迟 (57.8%) 或详细的预防计划 (67.8%).
- 问责制,个人遗憾,道歉和预防意图与更高的患者评级有很强的相关性.
结论:
- 住院医生的错误披露沟通有所不同,往往不符合患者的期望.
- 最小化和合理化很少使用,但与评级有负面关联.
- 未来的培训软件应该强调患者重视的主题,并阻止有害的沟通元素.
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