关键事件技术在初级保健中用于自杀死亡审计的应用。
Use of the critical incident technique in primary care in the audit of deaths by suicide.
作者信息
Redpath L, Stacey A, Pugh E, Holmes E
机构信息
County Durham Health Authority, UK.
出版信息
Qual Health Care. 1997 Mar;6(1):25-8. doi: 10.1136/qshc.6.1.25.
OBJECTIVE
To explore the usefulness of the critical incident technique in primary care to improve policy and practice to prevent cases of suicide.
DESIGN
Inviting all primary care teams in County Durham with a patient who committed suicide between 1 June 1993 and 31 May 1994 to take part in a critical incident audit with an external facilitator.
RESULTS
49 cases of suicide were available for study, registered with 31 practices. 19 (61%) practices accounting for 27 (55%) cases agreed to take part. Case discussions showed areas where practice could be improved, but no substantive preventive measures were identified within primary care, which would reduce the number of people committing suicide. The wider social and economic context was thought to be more important.
CONCLUSIONS
The use of the critical incident technique in primary care may have only a limited role in improving the management of people at risk from suicide. However, one of the potential strengths of this approach is to encourage reflection on practice in a difficult emotional area.
目的
探讨关键事件技术在初级保健中对改进预防自杀政策及实践的作用。
设计
邀请达勒姆郡在1993年6月1日至1994年5月31日期间有自杀患者的所有初级保健团队，在外部协调员的协助下参与关键事件审计。
结果
有49例自杀案例可供研究，这些案例登记在31家医疗机构。其中19家（61%）医疗机构，涉及27例（55%）案例，同意参与。案例讨论指出了实践中可改进之处，但在初级保健中未确定能减少自杀人数的实质性预防措施。更广泛的社会和经济背景被认为更为重要。
结论
在初级保健中使用关键事件技术，在改善对有自杀风险人群的管理方面可能作用有限。然而，这种方法的潜在优势之一是鼓励在情感困难领域对实践进行反思。
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