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实习生应该成为医院里良好与不良做法的“耳目”吗?

Should trainees be the 'eyes and the ears' of both good and bad practice in hospitals?

作者信息

Sarfo-Annin Jason Kwasi

机构信息

Royal United Hospitals Bath NHS Foundation Trust.

出版信息

Future Hosp J. 2015 Feb;2(1):11-12. doi: 10.7861/futurehosp.2-1-11.

DOI:10.7861/futurehosp.2-1-11
PMID:31098069
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6465877/
Abstract

A strong voice is critical for junior doctors to report witnessed poor care delivery. Current incident reporting systems foster a sense of vulnerability and under-reporting of events. Provision of adequate incident report feedback and dedicated time to undertake audit and quality improvement projects are required to facilitate discussion and learning from errors that take place in the workplace. A independent whistleblowing centre specific to healthcare is required to reduce the likelihood of future inquiries into poor patient care.

摘要

对于初级医生报告所目睹的护理质量不佳情况而言,强有力的发声至关重要。当前的事件报告系统助长了一种脆弱感,导致事件报告不足。需要提供充分的事件报告反馈以及用于进行审核和质量改进项目的专门时间,以促进对工作场所发生的错误进行讨论和从中学习。需要一个专门针对医疗保健的独立举报中心,以降低未来对患者护理不佳情况进行调查的可能性。

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本文引用的文献

1
Will prescriptions for cultural change improve the NHS?文化变革的药方会改善国民医疗服务体系(NHS)吗?
BMJ. 2013 Mar 1;346:f1305. doi: 10.1136/bmj.f1305.
2
Whistleblowing and patient safety: the patient's or the profession's interests at stake?举报与患者安全:患者利益还是行业利益受到威胁?
J R Soc Med. 2011 Jul;104(7):278-82. doi: 10.1258/jrsm.2011.110034.
3
Critical incident reporting and learning.关键事件报告和学习。
Br J Anaesth. 2010 Jul;105(1):69-75. doi: 10.1093/bja/aeq133.
4
Feedback from incident reporting: information and action to improve patient safety.事件报告的反馈:用于提高患者安全的信息与行动
Qual Saf Health Care. 2009 Feb;18(1):11-21. doi: 10.1136/qshc.2007.024166.
5
Lost opportunities: how physicians communicate about medical errors.错失的机会:医生如何就医疗差错进行沟通。
Health Aff (Millwood). 2008 Jan-Feb;27(1):246-55. doi: 10.1377/hlthaff.27.1.246.
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All changed, changed utterly. British medicine will be transformed by the Bristol case.一切都变了,彻底变了。英国医学将因布里斯托尔事件而发生变革。
BMJ. 1998 Jun 27;316(7149):1917-8. doi: 10.1136/bmj.316.7149.1917.