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医疗差错——不仅仅是患者的问题。

Medical errors - not only patients' problem.

机构信息

Department of Endocrinology, Metabolism and Internal Diseases, Poznan University of Medical Sciences, Poland.

出版信息

Arch Med Sci. 2012 Jul 4;8(3):569-74. doi: 10.5114/aoms.2012.29413.

Abstract

INTRODUCTION

Medical error is often a traumatic experience not only for patients but also for doctors. However, patients as victims get much more publicity than those responsible for actual errors. The authors of the study conducted research to learn about Polish doctors' opinions on and reactions to medical errors and how they affect their further professional activity and psychological status. The aim of this study was to evaluate the impact of involvement in medical errors of doctors of different specialties and different age.

MATERIAL AND METHODS

The research was conducted in a group of 100 doctors of different specialties. Respondents anonymously completed an experimental survey comprising 6 groups of multiple choice questions concerning such issues as awareness of the nature of medical error, legal liability of the perpetrator, consequences of medical error for further professional activity, the function of the Patients' Rights Representative and consequences of publishing the problem.

RESULTS

The results indicate many negative effects of medical errors on physicians, such as common fear of making an error (82%), increased caution (52%), disadvantageous security measures while performing one's duties (57%), worsening of doctor-patient relations (67%), loss of social trust (62%) and increased treatment costs (40%). Forty five percent of the surveyed doctors declared that patients need the Patients' Rights Representative and 39% claimed it does not affect their work.

CONCLUSIONS

Given the significant burden on physicians' health, well-being and performance associated with medical errors, health care institutions should take this into account and provide physicians with formal systems of support.

摘要

简介

医疗错误不仅对患者,而且对医生来说都是一种创伤性的经历。然而,作为受害者的患者得到的关注比实际犯错的人要多得多。本研究的作者进行了研究,以了解波兰医生对医疗错误的看法和反应,以及这些错误如何影响他们的进一步专业活动和心理状态。本研究的目的是评估不同专业和不同年龄的医生参与医疗错误的影响。

材料和方法

该研究在一组 100 名不同专业的医生中进行。受访者匿名填写了一份实验调查问卷,共包含 6 组多项选择题,涉及医疗错误性质的认识、行为人的法律责任、医疗错误对进一步专业活动的后果、患者权利代表的作用以及问题公布的后果等问题。

结果

结果表明,医疗错误对医生有许多负面影响,例如普遍担心犯错(82%)、谨慎增加(52%)、履行职责时不利的安全措施(57%)、医患关系恶化(67%)、社会信任丧失(62%)和治疗费用增加(40%)。45%的受调查医生表示患者需要患者权利代表,39%的医生表示这不会影响他们的工作。

结论

鉴于医疗错误给医生的健康、福祉和表现带来了重大负担,医疗机构应考虑到这一点,并为医生提供正式的支持系统。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b539/3400923/d8894763ca8b/AMS-8-18991-g001.jpg

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