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儿科放射学中的患者安全事件:如何关怀专业人员?

Patient safety incidents in paediatric radiology: how to care for the professional?

作者信息

Nievelstein Rutger A J, Hennus Marije P, van Dam Marjel

机构信息

Department of Paediatric Radiology & Nuclear Medicine, Division of Imaging & Oncology, University Medical Centre Utrecht/Wilhelmina Children's Hospital, P.O. Box 85500, 3508 GA, Utrecht, The Netherlands.

Department of Paediatric Intensive Care Medicine, Division of Paediatrics, University Medical Centre Utrecht/Wilhelmina Children's Hospital, Utrecht, The Netherlands.

出版信息

Pediatr Radiol. 2025 Mar;55(3):429-436. doi: 10.1007/s00247-024-06054-9. Epub 2024 Sep 18.

DOI:10.1007/s00247-024-06054-9
PMID:39292243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11882660/
Abstract

Patient safety incidents in paediatric radiology have profound impacts not only on the patient and their family, but also on the well-being and professional practice of healthcare professionals. These incidents, which range from procedural and diagnostic incidents to serious adverse events leading to harm or even death of the patient, may evoke feelings of distress, guilt, and anxiety among paediatric radiologists (in-training), ultimately affecting their confidence and ability to deliver high-quality care. Recognizing the importance of addressing these challenges, healthcare organizations should implement strategies to support professionals in coping with and learning from these incidents. By fostering a culture of open communication, providing access to peer support, and offering structured debriefing and educational opportunities, healthcare institutions can help mitigate the psychological toll of patient safety incidents and promote resilience among their staff. This article examines the multifaceted impacts of patient safety incidents on paediatric radiologists (in-training) and their staff and outlines effective approaches for handling these incidents to support professional well-being and enhance patient safety.

摘要

儿科放射学中的患者安全事件不仅会对患者及其家庭产生深远影响,还会影响医疗保健专业人员的福祉和专业实践。这些事件涵盖从程序和诊断事件到导致患者伤害甚至死亡的严重不良事件,可能会在儿科放射科医生(培训中)中引发痛苦、内疚和焦虑情绪,最终影响他们提供高质量护理的信心和能力。认识到应对这些挑战的重要性,医疗保健组织应实施策略,以支持专业人员应对这些事件并从中吸取教训。通过营造开放沟通的文化、提供同伴支持的途径以及提供结构化的汇报和教育机会,医疗机构可以帮助减轻患者安全事件带来的心理负担,并提高员工的适应能力。本文探讨了患者安全事件对儿科放射科医生(培训中)及其员工的多方面影响,并概述了处理这些事件的有效方法,以支持专业人员的福祉并提高患者安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bd6/11882660/9f69dd8eea34/247_2024_6054_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bd6/11882660/9f69dd8eea34/247_2024_6054_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bd6/11882660/9f69dd8eea34/247_2024_6054_Fig1_HTML.jpg

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Enhancing your practice: debriefing in interventional radiology.提升你的实践:介入放射学中的病例汇报
CVIR Endovasc. 2024 Jan 16;7(1):12. doi: 10.1186/s42155-023-00412-8.
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In search of an international multidimensional action plan for second victim support: a narrative review.探寻国际多维度第二受害者支持行动计划:叙事性综述
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Caring for Each Other: A Resident-Led Peer Debriefing Skills Workshop.关爱彼此:一场由住院医师主导的同伴案例讨论技能研讨会。
J Grad Med Educ. 2023 Apr;15(2):248-251. doi: 10.4300/JGME-D-22-00513.1. Epub 2023 Apr 17.
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Int J Environ Res Public Health. 2022 Dec 15;19(24):16869. doi: 10.3390/ijerph192416869.
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Moving on after critical incidents in health care: A qualitative study of the perspectives and experiences of second victims.医疗保健中的重大事件后继续前进:第二受害者的观点和经历的定性研究。
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Implementation of a Certified Registered Nurse Anesthetist Second Victim Peer Support Program.实施注册护士麻醉师二级受害者同伴支持计划。
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Association between common stressful life events and coping strategies in adults.成年人常见应激性生活事件与应对策略之间的关联。
J Educ Health Promot. 2021 Aug 31;10:307. doi: 10.4103/jehp.jehp_519_20. eCollection 2021.
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Peer support by interprofessional health care providers in aftermath of patient safety incidents: A cross-sectional study.专业医疗保健提供者在患者安全事件后的同伴支持:一项横断面研究。
J Nurs Manag. 2021 Oct;29(7):2270-2277. doi: 10.1111/jonm.13345. Epub 2021 May 9.
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Strategies to support health professionals in the condition of second victim: scoping review.支持处于“第二受害者”状态的卫生专业人员的策略:范围综述。
Rev Esc Enferm USP. 2021 Apr 16;55:e03669. doi: 10.1590/S1980-220X2019011803669. eCollection 2021.
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Second Victim: A Traumatic Experience.第二受害者:创伤性体验
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