Yee Kwang Chien, Madden Angela, Nash Rosie, Connolly Michael
School of Medicine, Faculty of Health, University of Tasmania.
Royal Hobart Hospital, Tasmania, Australia.
Stud Health Technol Inform. 2017;241:88-94.
Clinical communication and clinical supervision of junior healthcare professionals are identified as the two most common preventable factors to reduce medical errors. While multiple strategies have been implemented to improve clinical communication, clinical supervision has not attracted as much attention. This is in part due to the lack of understanding of clinical supervision. Furthermore, there is a lack of exploration of information communication technology (ICT) in assisting the delivery of clinical supervision from the perspective of users (i.e. junior clinicians). This paper presents a study to understand clinical supervision from the perspective of medical and pharmacy interns. The important elements of good clinical supervisors and good clinical supervision have been presented in this paper based on our study. More importantly, our results suggest a distinction between good supervisors and good supervisions. Both these factors impact on patient safety. Through discussion of user requirements of good supervision by users (interns), this paper then explores and presents a conceptual framework to assist in the discussion and design of ICT by healthcare organisations to improve clinical supervision of interns and therefore improve patient safety.
初级医疗保健专业人员的临床沟通和临床督导被视为减少医疗差错的两个最常见的可预防因素。虽然已经实施了多种策略来改善临床沟通，但临床督导并未受到同等程度的关注。部分原因是对临床督导缺乏了解。此外，从用户（即初级临床医生）的角度来看，在利用信息通信技术（ICT）协助提供临床督导方面缺乏探索。本文介绍了一项从医学和药学实习生的角度理解临床督导的研究。基于我们的研究，本文呈现了优秀临床督导者和良好临床督导的重要要素。更重要的是，我们的结果表明优秀督导者和良好督导之间存在差异。这两个因素都会影响患者安全。通过讨论用户（实习生）对良好督导的需求，本文进而探索并提出一个概念框架，以协助医疗保健机构进行关于ICT的讨论和设计，从而改善对实习生的临床督导，进而提高患者安全。
