住院患者的性别差异 安全聊天消息负担 在内科住院医生中
Stephanie A Saey1, Andrew J Halvorsen2, Hannah C Nordhues3
1Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA. saey.stephanie@mayo.edu.
Journal of general internal medicine
|December 22, 2025
概括
女性内科医生面临更高的安全消息负担,影响工作流程并导致倦怠. 解决这些性别差异对于公平的培训环境和医生福祉至关重要.
科学领域:
- 医疗信息学 医疗信息学
- 医生劳动力研究 医生劳动力研究
- 医学中的性别研究.
背景情况:
- 通过电子健康记录 (EHR) 进行安全消息传递在医院中很常见.
- 在门诊环境中,人们知道EHR工作负荷的性别差异,但在医院住院医生中没有研究过.
研究的目的:
- 调查内部医学专科医生在安全消息传递量中的基于性别的差异.
- 探索居民对安全消息传递对工作流程,教育和倦怠的影响的看法.
主要方法:
- 从Epic的内部医学住院医生 (PGY1-PGY3) 的EHR安全消息数据的回顾性分析.
- 在轮换中,按性别每天发送/接收的平均消息的比较.
- 匿名调查评估居民对消息量,工作流程,教育和倦怠的看法.
主要成果:
- 女性住院人员在特定轮换 (PGY3医院医学,PGY1心脏病学) 上收到的信息显着更多.
- 女性居民在几个轮换中发送的信息更多,并且报告了更频繁的教育中断.
- 大多数居民发现安全消息传递阻碍了优先级的确定,并导致了燃烧.
结论:
- 内部医学专科医生之间存在安全消息量和感知负担的性别差异.
- 这些差异可能源于结构因素和性别沟通期望.
- 机构应实施策略来管理消息量,促进公平,并支持学员,特别是女性.
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