Department of Surgery, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA; Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.
Department of Surgery, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
J Pediatr Surg. 2021 May;56(5):833-838. doi: 10.1016/j.jpedsurg.2020.12.031. Epub 2021 Jan 9.
Failure to recover after a medical error is a major contributor to burnout. The degree to which pediatric surgeons experience errors and the barriers and facilitators to successful recovery are largely unknown.
We conducted a survey of American Pediatric Surgical Association (APSA) members to measure frequency of personal experience with medical errors resulting in significant patient harm, describe coping mechanisms, and explore surgeon satisfaction with institutional support in the wake of an error.
We found that 80% of respondents have personally experienced a medical error resulting in significant patient harm or death, and that only about one-quarter were satisfied with the support provided by their institution. Only 11% of surgeons would prefer not to be contacted after an adverse event, and most would want to be contacted by their partners. Barriers to providing and receiving support included lack of knowledge, "shame and blame" culture, and lack of trust in the institution as an ally.
Pediatric surgeons routinely experience intense and stressful clinical scenarios and face challenging paths to recovery after adverse events. Institutions and national societies can play a critical role in creating infrastructure to help surgeons recover, in order to prevent burnout and promote well-being.
在发生医疗失误后无法恢复是导致倦怠的主要原因。儿科外科医生经历错误的程度以及成功恢复的障碍和促进因素在很大程度上是未知的。
我们对美国小儿外科学会（APSA）的成员进行了一项调查，以衡量个人经历导致重大患者伤害的医疗错误的频率，描述应对机制，并探讨外科医生在发生错误后的机构支持满意度。
我们发现，80%的受访者个人经历过导致重大患者伤害或死亡的医疗错误，只有约四分之一对所在机构提供的支持感到满意。只有 11%的外科医生希望在不良事件后不被联系，大多数人希望被合作伙伴联系。提供和接受支持的障碍包括缺乏知识、“羞耻和责备”文化以及对机构作为盟友的缺乏信任。
儿科外科医生经常经历紧张和有压力的临床情况，并在发生不良事件后面临着具有挑战性的恢复途径。机构和国家协会可以在创造帮助外科医生恢复的基础设施方面发挥关键作用，以防止倦怠和促进健康。
