Communication in emergency medicine: Implications for patient safety
Communication in emergency medicine: Implications for patient safety
复制标题
DOI：
10.1080/03637750500322602
复制
发表时间：
2005-12-01
影响因子：
2.5
通讯作者：
Vanderhoef, M
中科院分区：
文献类型：
--
作者：
Eisenberg, EM;Murphy, AG;Vanderhoef, M
急诊医学在很大程度上是一种沟通活动，在这种情况下发生的医疗事故往往是脆弱的沟通过程的结果。在对两个学术急诊部门进行的为期一年的定性研究中，一个跨学科研究小组确定了四个这样的过程：分流，测试和评估，诊断和录取。在每一个案例中，我们都发现叙述理性（病人的故事）始终受制于技术理性（可操作列表）。过程的变化，建议鼓励照顾者重新考虑他们的行动方针或要求额外的上下文信息。提高对技术理性偏见的认识，更好地认识到急诊医学沟通中的不确定性，是预测潜在故障和确保患者安全的重要第一步。
Emergency medicine is largely a communicative activity, and medical mishaps that occur in this context are too often the result of vulnerable communication processes. In this year-long qualitative study of two academic emergency departments, an interdisciplinary research team identified four such processes: triage, testing and evaluation, handoffs, and admitting. In each case, we found that narrative rationality (the patient's story) was consistently subjugated to technical rationality (actionable lists). Process changes are proposed to encourage caregivers to either reconsider their course of action or request additional contextual information. A heightened awareness of the bias for technical over narrative rationality and a better recognition of uncertainty in emergency medicine communication are important first steps toward anticipating potential failures and ensuring patient safety.