Loreto Michael, Kahn Daniel, Glanc Phyllis
Department of Medical Imaging, Health Sciences North, Greater Sudbury, Ontario, Canada.
Department of Physical Sciences at the Sunnybrook Research Institute, Toronto, Ontario, Canada.
J Am Coll Radiol. 2014 Nov;11(11):1034-7. doi: 10.1016/j.jacr.2014.04.015. Epub 2014 Nov 3.
The aim of this study was to investigate the attitudes and perceptions of staff radiologists regarding the incorporation of a nonanonymous peer review system at an academic hospital.
A questionnaire gauging knowledge of, attitudes toward, and perceptions regarding peer review was distributed to all staff radiologists at a large academic hospital. The survey was distributed before the implementation of a nonanonymous peer review system. Data were analyzed using descriptive statistics. Responses were cross-tabulated according to subspecialty and number of years in practice.
The majority of respondents agreed that peer review is important for improving patient care (31 of 36 [86%]) and professional development (29 of 36 [81%]), but the vast majority (33 of 36 [92%]) believed that peer review should be anonymous. Twenty-six of 36 respondents (72%) believed that peer review will not be safe from malpractice issues, 24 of 36 (67%) agreed that it has the potential to damage interpersonal relationships within the department, and 15 of 36 (42%) believed that it may influence their job security or rankings within the department. Significant differences were identified between radiologists with more and fewer years of practice experience.
The incorporation of a nonanonymous peer review system generates anxiety and uncertainty within a radiology department. The investigation of physicians' attitudes toward and perceptions about peer review is important for understanding the potential impact not only on patient care but also on radiologists' relationships and psychology in the workplace.
本研究旨在调查学术医院放射科工作人员对采用非匿名同行评审系统的态度和看法。
向一家大型学术医院的所有放射科工作人员发放了一份关于同行评审的知识、态度和看法的问卷。该调查在非匿名同行评审系统实施之前进行。使用描述性统计分析数据。根据亚专业和执业年限对回答进行交叉制表。
大多数受访者同意同行评审对改善患者护理（36人中有31人[86%]）和专业发展（36人中有29人[81%]）很重要，但绝大多数（36人中有33人[92%]）认为同行评审应该是匿名的。36名受访者中有26人（72%）认为同行评审无法避免医疗事故问题，36人中有24人（67%）同意它有可能损害部门内的人际关系，36人中有15人（42%）认为它可能影响他们的工作保障或在部门内的排名。在执业经验较多和较少的放射科医生之间发现了显著差异。
采用非匿名同行评审系统在放射科内产生了焦虑和不确定性。调查医生对同行评审的态度和看法不仅对于理解其对患者护理的潜在影响，而且对于理解其对放射科医生在工作场所的关系和心理的潜在影响都很重要。
