Organizational Climate, Stress, and Error in Primary Care: The MEMO Study
Organizational Climate, Stress, and Error in Primary Care: The MEMO Study
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初级保健中的组织氛围、压力和错误：MEMO 研究
DOI：
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
M. Plane
中科院分区：
文献类型：
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作者：
M. Linzer;L. Manwell;M. Mundt;E. Williams;A. Maguire;J. Mcmurray;M. Plane
摘要：组织氛围对医生及其患者的影响尚不清楚。最小化错误，最大化结果 (MEMO) 研究通过一个概念模型来调查这个问题，该模型将办公室工作条件与由医生反应介导的护理质量联系起来。 MEMO 是对纽约、芝加哥和威斯康星州（包括密尔沃基和麦迪逊）的医生和患者的纵向研究。医生调查评估了办公室环境和组织氛围 (OC)。使用 4 项量表测量压力，自我报告过去的错误，并使用 OSPRE（职业压力和可预防错误）措施自我评估未来错误的可能性。因子分析揭示了 OC 的新领域。回归分析评估了压力、过去错误和未来错误的预测因子。在 420 名受访医生（主要来自全科医学和家庭医学诊所）中，38% 的人表示他们的办公环境忙碌且趋于混乱，而另外 10% 的人表示他们的办公环境忙碌或混乱。百分之六十一的人认为他们的工作压力很大； 27% 的人注意到倦怠症状； 31% 的受访者表示，他们至少有中等程度的可能在 2 年内离职。
Abstract : The impact of organizational climate on physicians and their patients is not well understood. The Minimizing Error, maximizing Outcome (MEMO) Study investigates this question through a conceptual model that relates office working conditions to quality of care, as mediated by physician reactions. MEMO is longitudinal study of physicians and patients in New York, Chicago, and the state of Wisconsin, including Milwaukee and Madison. Physician surveys assessed office environment and organizational climate (OC). Stress was measured using a 4-item scale, past errors were self reported, and the likelihood of future errors was self-assessed using the OSPRE (Occupational Stress and PReventable Error) measure. Factor analysis revealed new domains of OC. Regression analyses assessed predictor of stress, past errors, and future errors. Among 420 physician respondents, predominantly from general medicine and family medicine practices, 38 percent described their office environment as busy, tending toward chaotic, while another 10 percent described their office environment as hectic or chaotic. Sixty-one percent agreed their work was stressful; 27 percent noted burnout symptoms; and 31 percent of respondents said they were at least moderately likely to leave their jobs within 2 years.
影响因子：
5.7
作者：
Haas, JS;Cook, EF;Brennan, TA
通讯作者：
Brennan, TA