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麻醉记录:关于数据遗漏或修改的保密调查。

The anaesthetic record: a confidential survey on data omission or modification.

作者信息

Galletly D C, Rowe W L, Henderson R S

机构信息

Section of Anaesthesia, Wellington School of Medicine, New Zealand.

出版信息

Anaesth Intensive Care. 1991 Feb;19(1):74-8. doi: 10.1177/0310057X9101900113.

DOI:10.1177/0310057X9101900113
PMID:2012299
Abstract

A confidential survey was conducted among medical practitioners in New Zealand with a stated interest in anaesthesia to ascertain the proportion of those currently engaged in anaesthetic practice (thought to be approximately 325), who knowingly omit or alter undesirable physiological parameters from the anaesthetic record. Two hundred and forty-five replies were received from currently active anaesthetists. The reported frequency of occasional data omission or falsification was 55%. Those anaesthetists who intentionally manipulated data were more likely to be dissatisfied with their current anaesthetic record form, to view the record as an intraoperative distraction and less likely to perceive the record as being important for the use of future anaesthetists. There was no correlation between data manipulation and concerns over the medicolegal uses of the record.

摘要

对新西兰对麻醉有明确兴趣的执业医师进行了一项保密调查,以确定目前从事麻醉工作的人员(据认为约有325人)中,故意在麻醉记录中遗漏或更改不良生理参数的比例。从目前仍在执业的麻醉师那里收到了245份回复。报告的偶尔数据遗漏或伪造的频率为55%。那些故意操纵数据的麻醉师更有可能对他们目前的麻醉记录表格不满意,将记录视为术中的干扰因素,并且不太可能认为该记录对未来麻醉师的使用很重要。数据操纵与对记录的法医学用途的担忧之间没有关联。

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