麻醉科中的第二受害者支持结构：一项在比利时麻醉师中的横断面调查。

Second victim support structures in anaesthesia: a cross-sectional survey in Belgian anaesthesiologists.

机构信息

Department of Cardiovascular Sciences, KU Leuven-University of Leuven, Leuven 3000, Belgium.

Department of Anesthesiology and Pain Medicine, University Hospitals Leuven, Leuven 3000, Belgium.

出版信息

Int J Qual Health Care. 2021 Apr 8;33(2). doi: 10.1093/intqhc/mzab058.

DOI:10.1093/intqhc/mzab058

PMID:33760071

Abstract

BACKGROUND

Anaesthesiologists are prone to patient safety situations after which second victim symptoms can occur. In international literature, a majority of these second victims indicated that they were emotionally affected in the aftermath of a patient safety incident (PSI) and received little institutional support after these events.

OBJECTIVE

To study the current second victim support structures in anaesthesia departments in Belgium.

METHODS

An observational cross-sectional survey. Belgian anaesthesiologists and anaesthesiologists in training were contacted through e-mail from May 27th until 15 July 2020.

RESULTS

In total, 456 participants completed the online survey. 73.7% (n = 336) of the participants encountered a PSI during the last year of their medical practice. 80.9% (n = 368) of respondents answered that they do discuss incidents with their colleagues. 18.0% (n = 82) discussed all incidents. 19.3% (n = 88) admitted that these incidents are never discussed in their department. 15.4% of participants (n = 70) experienced or thought that the culture is negative during these PSI discussions. 17.3% (n = 79) scored the culture neutral. Anaesthesiologists who encountered a PSI in the last years scored the support of their anaesthesia department a mean score of 1.59 (ranging from -10 to +10). A significant correlation (P < 0.05) was found between the culture during the morbidity and mortality meetings, the support after the incidents and the perceived quality of the anaesthesia department.

CONCLUSION

Of the participating anaesthesiologist in Belgium, 80.9% discussed some PSIs and 18.0% discussed all PSIs as a normal part of their staff functioning with an experienced positive or neutral culture during these meetings in 84.6%. Psychological safety within the anaesthesiology departments is globally good; however, it could and should be optimized. This optimization process warrants further investigations in the future.

摘要

背景

麻醉师在发生患者安全情况后容易出现第二受害者症状。在国际文献中，大多数这些第二受害者表示，他们在患者安全事件（PSI）发生后受到情绪影响，并且在这些事件后几乎没有得到机构支持。

目的

研究比利时麻醉科目前的第二受害者支持结构。

方法

观察性横断面调查。2020 年 5 月 27 日至 7 月 15 日，通过电子邮件联系比利时麻醉师和麻醉住院医师。

结果

共有 456 名参与者完成了在线调查。在过去一年的医疗实践中，73.7%（n=336）的参与者遇到过 PSI。80.9%（n=368）的受访者回答说，他们确实与同事讨论过事件。18.0%（n=82）讨论了所有事件。19.3%（n=88）承认这些事件在他们的部门从未讨论过。15.4%的参与者（n=70）经历过或认为在这些 PSI 讨论中文化是消极的。17.3%（n=79）的评分文化为中性。在过去几年中遇到 PSI 的麻醉师对他们麻醉部门的支持平均得分为 1.59（范围从-10 到+10）。在发病率和死亡率会议期间的文化、事件后的支持以及对麻醉部门的感知质量之间发现了显著的相关性（P<0.05）。