Neyens Laurens, Stouten Esther, Vanhaecht Kris, Mira José, Panella Massimiliano, Seys Deborah, Schoenmakers Birgitte
Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Leuven Institute for Healthcare Policy-Department of Public Health and Primary Care.
J Patient Saf. 2025 Jan 1;21(1):9-14. doi: 10.1097/PTS.0000000000001299. Epub 2024 Nov 21.
The impact of a patient safety incident (PSI) on nurses and doctors in hospital settings has been studied in depth. However, the impact of a PSI on general practitioners and how those health care professionals can be supported are less clear.
The objective of this study is to investigate the prevalence of GPs (in training) being personally involved in a PSI, as well as the impact, the support needed, and open disclosure in the aftermath of these PSIs.
A cross-sectional study, conducted between January 3, 2022, and March 5, 2022, led to a sample of 78 GPs or GPs in training in Flanders (Belgium). Participants filled in more than 80% of a questionnaire that measured the involvement in a PSI during the prior year and their entire career, and the impact in terms of emotional symptoms, attitudes, the support needed, and open disclosure were included.
In total, 78 responses of GPs (in training) filled in the questionnaire, of which 87.2% were involved in a PSI over the course of their entire career and 55.1% during the prior year. Often, such a PSI resulted in permanent patient harm or patient death. The PSI that stuck with the GPs the most had many negative consequences for the GP in question, such as hypervigilance (88.2%) and feelings of guilt (82.4%), stress (79.4%), and shame (75.0%). More than half of the respondents involved want substantive clarity (64.4%), and in case of 51.7% of the respondents, an open discussion with the patient and/or family took place afterwards.
This study shows that GPs, even in training, can be negatively impacted after a PSI. Only half of the respondents were involved in an open disclosure process, but the ones involved had a positive feeling after disclosure. More support is needed for health care professionals in the aftermath of a PSI in primary care, and this support could enhance their involvement in the open disclosure process.
患者安全事件（PSI）对医院环境中的护士和医生的影响已得到深入研究。然而，PSI对全科医生的影响以及如何支持这些医疗保健专业人员尚不清楚。
本研究的目的是调查（正在接受培训的）全科医生个人卷入PSI的发生率，以及这些PSI事件发生后的影响、所需的支持和公开披露情况。
于2022年1月3日至2022年3月5日进行了一项横断面研究，选取了比利时弗拉芒地区78名全科医生或正在接受培训的全科医生作为样本。参与者填写了一份问卷的80%以上，该问卷测量了上一年度及整个职业生涯中卷入PSI的情况，并包括了在情绪症状、态度、所需支持和公开披露方面的影响。
共有78名（正在接受培训的）全科医生回复了问卷，其中87.2%在其整个职业生涯中卷入过PSI，55.1%在上一年度卷入过。此类PSI往往导致患者永久性伤害或死亡。对全科医生影响最大的PSI对相关全科医生产生了许多负面后果，如过度警觉（88.2%）、内疚感（82.4%）、压力（79.4%）和羞耻感（75.0%）。超过一半的参与受访者希望得到实质性的解释（64.4%），51.7%的受访者事后与患者和/或家属进行了公开讨论。
本研究表明，即使是正在接受培训的全科医生，在经历PSI后也可能受到负面影响。只有一半的受访者参与了公开披露过程，但参与的人在披露后有积极的感受。在初级保健中发生PSI事件后，医疗保健专业人员需要更多支持，这种支持可以增强他们参与公开披露过程的程度。
