From the Vanderbilt University Medical Center (R.D.A.); UT Southwestern (D.B.); Lehigh Valley Health Network (J.J.S.); University of Louisville Health (J.C.); University of Kansas Medical Center (J.L.H.); and Atrium Health Carolinas Medical Center (K.C.).
J Trauma Acute Care Surg. 2024 Jul 1;97(1):e1-e7. doi: 10.1097/TA.0000000000004311. Epub 2024 Mar 5.
Providers are charged with responsibility to maintain their own health and wellness; however, well-being is multifactorial and the construct lacks clarity. In the current state of health care, burnout is on the rise with increasing demands for clinical productivity and strained system resources. The health care industry has recognized wellness's patient safety and financial impact, recently applying research and resources to identify sustainable solutions. We reviewed the wellness literature with a focus on systems to provide a framework for consensus building for a quality acute care surgery system. Our review revealed several areas within system wellness for consideration: (1) provider wellness, (2) culture of safety, (3) learning health systems, and (4) organizational perspectives. We provide specific system recommendations for the acute care surgery practice to preserve our workforce by creating a system that works for its providers.
提供者有责任保持自身的健康和幸福；然而，幸福是多因素的，其结构不明确。在当前的医疗保健状态下，由于对临床生产力的需求不断增加和系统资源紧张，倦怠现象日益严重。医疗保健行业已经认识到健康对患者安全和财务的影响，最近正在利用研究和资源来确定可持续的解决方案。我们回顾了关于健康的文献，重点关注系统，为建立一个优质的急性护理外科系统的共识框架提供了依据。我们的审查揭示了系统健康的几个考虑领域：（1）提供者的健康，（2）安全文化，（3）学习健康系统，和（4）组织观点。我们为急性护理外科实践提供了具体的系统建议，通过创建一个适合其提供者的系统来保护我们的劳动力。
