How house officers cope with their mistakes.
How house officers cope with their mistakes.
复制标题
内部官员如何应对他们的错误。
DOI：
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发表时间：
1993
期刊：
影响因子：
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通讯作者：
Bernard Lo
中科院分区：
文献类型：
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作者：
A. Wu;S. Folkman;S. Mcphee;Bernard Lo
我们研究了内务人员如何应对严重的医疗错误，以深入了解医学教育工作者应该如何处理这些情况。向254名内科住院医师邮寄了一份匿名调查问卷，要求他们描述他们最重要的错误以及他们对此的反应; 45%（N = 114）报告了错误并完成了调查问卷。众议院官员在应对他们的错误时经历了相当大的情绪困扰，并使用了各种策略来科普。在多变量分析中，那些通过承担责任来应对的人更有可能在实践中做出建设性的改变，但会经历更多的情绪困扰。众议院官员谁应付逃避更有可能报告在实践中的防御变化。对于犯了错误的内务人员，我们建议医学教育工作者提供具体的建议，防止错误的复发，提供情感支持，并帮助他们理解，痛苦是从经验中学习的预期伴随。
We examined how house officers coped with serious medical mistakes to gain insight into how medical educators should handle these situations. An anonymous questionnaire was mailed to 254 house officers in internal medicine asking them to describe their most important mistake and their response to it; 45% (N = 114) reported a mistake and completed the questionnaire. House officers experienced considerable emotional distress in response to their mistakes and used a variety of strategies to cope. In multivariate analysis, those who coped by accepting responsibility were more likely to make constructive changes in practice, but to experience more emotional distress. House officers who coped by escape-avoidance were more likely to report defensive changes in practice. For house officers who have made a mistake, we suggest that medical educators provide specific advice about preventing a recurrence of the mistake, provide emotional support, and help them understand that distress is an expected concomitant of learning from the experience.