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医生对医疗差错披露的态度:一项定性研究。

Physicians' attitudes regarding the disclosure of medical errors: A qualitative study.

作者信息

Mendonca Vitor S, Schmidt Maria Luisa S

机构信息

Institute of Psychology, University of Sao Paulo, Brazil.

出版信息

Health Psychol Res. 2020 Oct 14;8(2):8929. doi: 10.4081/hpr.2020.8929. eCollection 2020 Oct 5.

Abstract

The experiences of physicians' errors could affect their professional practice. The aim of study was to explore physicians' experiences of medical errors and its consequences. This was a qualitative study in which ten Brazilian physicians were selected through purposive sampling. The data were collected via semistructured interviews and analyzed through principles derived of the phenomenological method. The interview topics were around how the error occurred in their practice, its process of disclosure and consequences of medical errors. Excessive workload and difficulty communicating among physicians are some of the factors that may increase the likelihood of medical error. Not looking for help after the error was a common attitude. This may be related to the difficulty for some physicians to acquire new practices after the error, even though physicians have shown that experiencing a medical error situation has a negative impact in their lives. To disclose training and institutional practices which contribute to the dissemination of conduct favorable to the improvement of medical practice.

摘要

医生犯错的经历可能会影响他们的专业实践。本研究的目的是探讨医生对医疗差错的经历及其后果。这是一项定性研究,通过目的抽样选取了10名巴西医生。数据通过半结构化访谈收集,并根据现象学方法的原则进行分析。访谈主题围绕差错在他们的实践中是如何发生的、其披露过程以及医疗差错的后果。工作量过大和医生之间沟通困难是可能增加医疗差错可能性的一些因素。差错发生后不寻求帮助是一种常见的态度。这可能与一些医生在差错发生后难以采用新的做法有关,尽管医生们表示经历医疗差错情况会对他们的生活产生负面影响。揭示有助于传播有利于改善医疗实践行为的培训和机构做法。

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