Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals.
Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals.
复制标题
报告医疗错误以提高患者安全：对教学医院医生的调查。
DOI：
--
复制
发表时间：
2008
影响因子：
--
通讯作者：
G. Rosenthal
中科院分区：
文献类型：
--
作者：
L. Kaldjian;E. W. Jones;Barry J. Wu;V. Forman;B. Levi;G. Rosenthal
背景
收集有关医疗差错的数据对于改善患者安全至关重要，但对影响医生报告差错的因素知之甚少。
方法
对美国中西部、大西洋中部和东北部地区的教师和住院医师进行调查，以调查实际错误的报告、报告假设错误的可能性、对报告错误的态度和人口因素。
结果
收到了338名参与者的回复（回复率为74.0%）。大多数受访者同意报告错误可以提高未来患者的护理质量（84.3%），并且可能会报告对患者造成轻微（73%）或重大（92%）伤害的假设错误。然而，只有17.8%的受访者报告了实际的小错误（导致长期治疗或不适），只有3.8%的人报告了实际的重大错误（导致残疾或死亡）。此外，16.9%的人承认没有报告实际的小错误，3.8%的人承认没有报告实际的重大错误。只有54.8%的受访者知道如何报告错误，只有39.5%的人知道报告什么样的错误。多变量分析的答案假设的小插曲表明，报告的意愿是积极相关的，相信报告提高护理质量，知道如何报告错误，相信宽恕，并作为一个教师医生（与居民）。
结论
大多数教职员工和住院医师倾向于报告造成伤害的假设错误，但只有少数人实际上报告了错误。
BACKGROUND
Collecting data on medical errors is essential for improving patient safety, but factors affecting error reporting by physicians are poorly understood.
METHODS
Survey of faculty and resident physicians in the midwest, mid-Atlantic, and northeast regions of the United States to investigate reporting of actual errors, likelihood of reporting hypothetical errors, attitudes toward reporting errors, and demographic factors.
RESULTS
Responses were received from 338 participants (response rate, 74.0%). Most respondents agreed that reporting errors improves the quality of care for future patients (84.3%) and would likely report a hypothetical error resulting in minor (73%) or major (92%) harm to a patient. However, only 17.8% of respondents had reported an actual minor error (resulting in prolonged treatment or discomfort), and only 3.8% had reported an actual major error (resulting in disability or death). Moreover, 16.9% acknowledged not reporting an actual minor error, and 3.8% acknowledged not reporting an actual major error. Only 54.8% of respondents knew how to report errors, and only 39.5% knew what kind of errors to report. Multivariate analyses of answers to hypothetical vignettes showed that willingness to report was positively associated with believing that reporting improves the quality of care, knowing how to report errors, believing in forgiveness, and being a faculty physician (vs a resident).
CONCLUSION
Most faculty and resident physicians are inclined to report harm-causing hypothetical errors, but only a minority have actually reported an error.
健康计划成员对宽恕医疗错误的看法。
DOI：
--
发表时间：
2005
期刊：
The American journal of managed care
影响因子：
--
作者：
Mazor,KathleenM;Simon,StevenR;Yood,RobertA;Martinson,BrianC;Gunter,MargaretJ;Reed,GeorgeW;Gurwitz,JerryH
通讯作者：
Gurwitz,JerryH