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医疗差错与医疗事故的预防:培养医生的适应能力是解决办法的一部分吗?

Prevention of medical errors and malpractice: Is creating resilience in physicians part of the answer?

作者信息

Parks-Savage Agatha, Archer Linda, Newton Heather, Wheeler Elizabeth, Huband Shaun R

机构信息

Eastern Virginia Medical School, Norfolk, VA 23501-1980, United States.

Eastern Virginia Medical School, Norfolk, VA 23501-1980, United States.

出版信息

Int J Law Psychiatry. 2018 Sep-Oct;60:35-39. doi: 10.1016/j.ijlp.2018.07.003. Epub 2018 Jul 18.

DOI:10.1016/j.ijlp.2018.07.003
PMID:30217328
Abstract

In this article, we present key concepts regarding physician and resident resilience and burnout, the legal and educational context for these distinctions, and the effects of improved physician resilience through self-care on a reduction in medical errors and malpractice. Resilience here indicates the mental processes and behaviors that enable an individual to overcome the potential negative effects of stressors. In order to explore the multiple factors that contribute to physician resilience, the authors approached the topic from a variety of perspectives, including the current ways of thinking about medical malpractice in the United States, physician resilience and medical errors, and building resilience during postgraduate medical education. The authors review steps taken and in process to mitigate physician burnout and enhance physician resilience.

摘要

在本文中,我们介绍了有关医生和住院医师恢复力及职业倦怠的关键概念、这些区别所处的法律和教育背景,以及通过自我保健提高医生恢复力对减少医疗差错和医疗事故的影响。这里的恢复力是指使个人能够克服压力源潜在负面影响的心理过程和行为。为了探究促成医生恢复力的多种因素,作者从多种角度探讨了这一主题,包括美国目前对医疗事故的思考方式、医生恢复力与医疗差错,以及在毕业后医学教育期间培养恢复力。作者回顾了为减轻医生职业倦怠和增强医生恢复力已采取及正在采取的措施。

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