危急事件汇报实践：一项基于调查的葡萄牙麻醉医师横断面研究。
Practice of debriefing of critical events: a survey-based cross-sectional study of Portuguese anesthesiologists.
作者信息
Teles Daniel, Silva Mariana, Berger-Estilita Joana, Pereira Helder
机构信息
Department of Anaesthesiology, University Hospital Centre of São João, Porto, Portugal.
Institute for Medical Education, University of Bern, Bern, Switzerland.
出版信息
Porto Biomed J. 2023 Jun 23;8(3):e215. doi: 10.1097/j.pbj.0000000000000215. eCollection 2023 May-Jun.
UNLABELLED
Debriefing is an essential procedure for identifying medical errors, improving communication, reviewing team performance, and providing emotional support after a critical event. This study aimed to describe the current practice and limitations of debriefing and gauge opinions on the best timing, effectiveness, need for training, use of established format, and expected goals of debriefing among Portuguese anesthesiologists.
METHODS
We performed a national cross-sectional online survey exploring the practice of anesthesiologists' debriefing practice after critical events in Portuguese hospitals. The questionnaire was distributed using a snowball sampling technique from July to September 2021. Data were descriptively and comparatively analyzed.
RESULTS
We had replies from 186 anesthesiologists (11.3% of the Portuguese pool). Acute respiratory event was the most reported type of critical event (96%). Debriefing occurred rarely or never in 53% of cases, 59% of respondents needed more training in debriefing, and only 4% reported having specific tools in their institutions to carry it out. There was no statistical association between having a debriefing protocol and the occurrence of critical events (=.474) or having trained personnel (=.95). The existence of protocols was associated with lower frequencies of debriefing (=.017).
CONCLUSIONS
Portuguese anesthesiologists know that debriefing is an essential process that increases patient safety, but among those surveyed, there is a need for an adequate debriefing culture or practice.
TRIAL REGISTRATION
Research registry 7741 (https://www.researchregistry.com/browse-the-registry#home).
未标注
事件汇报是识别医疗差错、改善沟通、评估团队表现以及在重大事件后提供情感支持的重要程序。本研究旨在描述事件汇报的当前实践及局限性，并评估葡萄牙麻醉医生对最佳时机、有效性、培训需求、既定格式的使用以及事件汇报预期目标的看法。
方法
我们开展了一项全国性横断面在线调查，探究葡萄牙医院麻醉医生在重大事件后的事件汇报实践情况。问卷于2021年7月至9月采用滚雪球抽样技术进行分发。对数据进行描述性和比较性分析。
结果
我们收到了186名麻醉医生的回复（占葡萄牙麻醉医生总数的11.3%）。急性呼吸事件是报告最多的重大事件类型（96%）。53%的情况下很少或从未进行事件汇报，59%的受访者需要更多事件汇报方面的培训，只有4%的人报告其所在机构有执行事件汇报的特定工具。是否有事件汇报方案与重大事件的发生（P =.474）或是否有经过培训的人员（P =.95）之间无统计学关联。方案的存在与较低的事件汇报频率相关（P =.017）。
结论
葡萄牙麻醉医生知道事件汇报是提高患者安全的重要过程，但在接受调查的人员中，需要一种适当的事件汇报文化或实践。
试验注册
研究注册库7741（https://www.researchregistry.com/browse-the-registry#home）
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