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同伴支持:医疗专业人员在不良医疗事件后相互支持。

Peer support: healthcare professionals supporting each other after adverse medical events.

作者信息

van Pelt F

机构信息

Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.

出版信息

Qual Saf Health Care. 2008 Aug;17(4):249-52. doi: 10.1136/qshc.2007.025536.

Abstract

The patient safety movement in healthcare is beginning to openly acknowledge the need to support the human side of adverse medical events in conjunction with evidence-based improvement initiatives. While medical literature has sporadically reported on the emotional impact of adverse events on healthcare professionals, little has been documented on the implementation of support services following these events. This article describes an adverse medical event where open communication and apology catalysed the development and implementation of a structured peer support service for care providers at the Brigham and Women's Hospital following adverse events. The Peer Support Service bypasses the stigmas that limit the utilisation of formal support services and offers care providers a safe environment to share the emotional impact of adverse events while serving as a foundation for open communication and a renewal of compassion in the workplace. As the breadth of stressors impacting healthcare professionals is revealed, the Peer Support Service is being recognised as a vital hospital-wide service. It also appears to offer an important leap forward in the critical areas of patient safety and quality of care.

摘要

医疗保健领域的患者安全运动开始公开承认,在开展循证改进举措的同时,有必要为医疗不良事件中的人员提供支持。虽然医学文献偶尔会报道不良事件对医疗保健专业人员的情感影响,但关于这些事件发生后支持服务的实施情况,相关记录却很少。本文描述了一起医疗不良事件,在该事件中,公开沟通和道歉促成了布莱根妇女医院为护理人员制定并实施结构化同伴支持服务,以应对不良事件。同伴支持服务消除了限制正式支持服务使用的 stigma,为护理人员提供了一个安全的环境,让他们能够分享不良事件带来的情感影响,同时也为公开沟通和在工作场所重新唤起同情心奠定了基础。随着影响医疗保健专业人员的压力源范围逐渐显现,同伴支持服务正被视为一项重要的全院范围服务。它似乎还在患者安全和护理质量等关键领域向前迈出了重要一步。

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