Tufail Shazia, Mustafa Nilofar, Kamran Rizwana, Khan Junaid Sarfraz
Dr. Shazia Tufail, MCPS, FCPS, MHPE. Department of OB/GYN, CMH Lahore Medical College and Institute of Dentistry, (National University of Medical Sciences), Lahore, Pakistan.
Dr. Nilofar Mustafa, MCPS, FCPS, MHPE. Department of OB/GYN, CMH Lahore Medical College and Institute of Dentistry, (National University of Medical Sciences), Lahore, Pakistan.
Pak J Med Sci. 2022 Sep-Oct;38(7):1924-1930. doi: 10.12669/pjms.38.7.5741.
Primary objective was to explore experiences of female residents of Obstetrics and Gynecology (OB/GYN) regarding lapses in patient safety (PS) while secondary objective was to explore factors hampering or favouring improvement of PS in OB/GYN.
In this qualitative narrative study carried out in OB/GYN department of Combined Military Hospital (CMH) Lahore for six months from 1 April to 30 September 2021, six fourth-year residents were asked to write narratives of their personal experiences of medical error (witnessed or committed) in detail and reflect on those experiences, which were then transcribed. Code labels and themes were assigned manually. Interpretation of these themes was done after thematic content analysis.
Six, fourth-year female residents with a mean age of 28.6±1.8 participated in the study. Two main themes with sub-themes were identified: 1) Challenges in patient safety (Personal challenges, Workplace challenges, Barriers to PS), 2) Lessons learnt from experiences (Self-improvement and; Promotion of patient safety culture). Heavy workload with long working hours, lack of communication and teamwork, lack of experience and inadequate supervision were major factors involved in PS lapses experienced by residents.
Incidents of Patient Safety (PS) lapses had a strong impact on the emotional and professional life of residents. Formal PS training with improvement of working conditions may help promote PS culture.
主要目的是探究妇产科女性住院医师在患者安全失误方面的经历，次要目的是探究阻碍或促进妇产科患者安全改善的因素。
在拉合尔综合军事医院妇产科进行的这项定性叙述性研究中，从2021年4月1日至9月30日为期六个月，要求六名四年级住院医师详细撰写他们个人医疗差错经历（目睹或犯下的）的叙述，并对这些经历进行反思，然后进行转录。手动分配代码标签和主题。在进行主题内容分析后对这些主题进行解读。
六名平均年龄为28.6±1.8岁的四年级女性住院医师参与了该研究。确定了两个主要主题及子主题：1）患者安全方面的挑战（个人挑战、工作场所挑战、患者安全障碍），2）从经历中吸取的教训（自我提升和；促进患者安全文化）。工作量大、工作时间长、缺乏沟通与团队合作、经验不足以及监督不力是住院医师经历的患者安全失误的主要因素。
患者安全失误事件对住院医师的情感和职业生活产生了强烈影响。进行正式的患者安全培训并改善工作条件可能有助于促进患者安全文化。
