Monash University, Melbourne, Australia.
J Health Organ Manag. 2013;27(2):273-86. doi: 10.1108/14777261311321824.
The purpose of this paper is to re-frame perceptions surrounding junior doctors' capacity to contribute to patient safety and quality improvement.
DESIGN/METHODOLOGY/APPROACH: A targeted literature review was conducted followed by individual telephone interviews and a half-day forum involving junior doctor representatives and selected leaders in the sector.
Junior doctors' entry into health care is an ideal time to cultivate practitioners' interest and expertise in improving the health system for better patient care. Junior doctors are more likely to bring or embrace new ideas, and recognize the importance of transparency and integration of technology into healthcare systems. Engaging with junior doctors in collaborative processes, rather than focusing on their more senior colleagues, may create a more effective culture.
ORIGINALITY/VALUE: The attributes of junior doctors (as they are in the absence of specific quality improvement or leadership training) that are currently underutilized in patient safety and quality improvement are explored, along with the factors limiting and facilitating the utilization of these attributes.
本文旨在重新构建人们对于初级医生在患者安全和质量改进方面的能力的看法。
设计/方法/途径：进行了有针对性的文献综述，随后进行了个人电话访谈和为期半天的论坛，邀请了初级医生代表和该领域的选定领导人参加。
初级医生进入医疗保健领域是培养医生在改善卫生系统以提供更好的患者护理方面的兴趣和专业知识的理想时机。初级医生更有可能带来或接受新的想法，并认识到透明度和技术融入医疗保健系统的重要性。与初级医生合作，而不是专注于他们更资深的同事，可能会创造出更有效的文化。
原创性/价值：探讨了目前在患者安全和质量改进方面尚未得到充分利用的初级医生（在缺乏具体的质量改进或领导力培训的情况下）的属性，以及限制和促进利用这些属性的因素。
