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沙特阿拉伯一家教学医院医疗差错披露的政策与实践

Policies vs Practice of Medical Error Disclosure at a Teaching Hospital in Saudi Arabia.

作者信息

Al Madani Reem, Al-Rayes Saja A, Alumran Arwa

机构信息

Risk Management Unit, Directorate of Quality and Safety, King Fahad Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Health Information Management and Technology Department, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

出版信息

Risk Manag Healthc Policy. 2020 Jul 17;13:825-831. doi: 10.2147/RMHP.S253275. eCollection 2020.

DOI:10.2147/RMHP.S253275
PMID:32765137
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7381814/
Abstract

BACKGROUND

Medical errors are unavoidable in health care institutions. Errors can occur due to multiple reasons, yet communication between health care providers has proven to be the highest. However, policies and programs of medical error disclosure were established to ensure that patients and their family members get the necessary closure. Hence, it is vital to recognize physicians' awareness of policies and programs related to disclosure practice.

OBJECTIVE

The objective of this study was to examine factors impacting the awareness of hospital policies and programs and their impact on the actual disclosure of medical errors.

METHODS

This was a quantitative cross-sectional study, using a self-administered survey given to 206 physicians from numerous departments at King Fahd Hospital of the University.

RESULTS

The majority of participants were not aware of policies and programs related to disclosure, nor had they disclosed a medical error to patients. There was no statistical significance between policies and programs and the practice of disclosure, yet position level and gender were statistically significantly related to awareness.

CONCLUSION

Physicians of King Fahd Hospital of the University demonstrated a low awareness rate of the hospital policies and programs regarding disclosure practice. Advanced efforts of hospital leaders need to be made to communicate, train and educate providers about their policies to promote disclosure practice.

摘要

背景

医疗错误在医疗机构中不可避免。错误可能由于多种原因发生,但事实证明医疗服务提供者之间的沟通问题最为突出。然而,医疗错误披露的政策和程序已经确立,以确保患者及其家属得到必要的了结。因此,认识医生对与披露实践相关的政策和程序的了解情况至关重要。

目的

本研究的目的是调查影响对医院政策和程序的认知的因素及其对医疗错误实际披露的影响。

方法

这是一项定量横断面研究,采用自行填写的调查问卷,对法赫德国王大学医院多个科室的206名医生进行调查。

结果

大多数参与者不了解与披露相关的政策和程序,也未向患者披露过医疗错误。政策和程序与披露实践之间没有统计学意义,但职位级别和性别与认知在统计学上有显著关联。

结论

法赫德国王大学医院的医生对医院关于披露实践的政策和程序的知晓率较低。医院领导需要进一步努力,向医护人员宣传、培训和教育相关政策,以促进披露实践。