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扰乱医疗秩序的医生与安全文化的影响。

The disruptive physician and impact on the culture of safety.

机构信息

Department of Anesthesiology and Perioperative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

出版信息

Curr Opin Anaesthesiol. 2021 Jun 1;34(3):387-391. doi: 10.1097/ACO.0000000000000968.

DOI:10.1097/ACO.0000000000000968
PMID:33935188
Abstract

PURPOSE OF REVIEW

The disruptive physician is a growing problem in medicine. All too often, physician behavior negatively impacts the delivery of quality patient care. The hostile environment that certain behaviors create makes it difficult for team members advocate for their patients. It is imperative that physician practices develop and an understanding of how to identify the disruptive physician to maintain patient safety.

RECENT FINDINGS

Disruptive physicians can damage team morale by creating a psychologically unsafe working environment. Healthcare organizations must be committed to ensuring that all team members can function effectively in their work environments. The leaders of healthcare organizations must be acutely aware of what constitutes disruptive behavior and act proactively to eliminate such behaviors. Disruptive physicians should be made acutely aware that their behavior is deemed unacceptable and efforts at correcting such behavior are imperative.

SUMMARY

The practice of medicine is multifaceted. It is imperative that the assurance of psychological safety is met to meet the standards of high quality and safe care for patients.

摘要

目的综述

扰乱型医生是医学领域日益严重的问题。医生的行为常常会对提供高质量的患者护理产生负面影响。某些行为造成的敌对环境使得团队成员难以为患者发声。当务之急是医生要制定并了解如何识别扰乱型医生以维护患者安全。

最近的发现

扰乱型医生通过营造心理上不安全的工作环境会破坏团队士气。医疗保健组织必须致力于确保所有团队成员都能在工作环境中有效地发挥作用。医疗保健组织的领导者必须敏锐地意识到哪些行为构成扰乱行为,并积极采取行动消除这些行为。必须让扰乱型医生清楚地认识到他们的行为是不可接受的,必须努力纠正这种行为。

总结

医学实践是多方面的。为了达到高质量和安全护理患者的标准,必须确保心理安全得到保障。

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