The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability.
The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability.
复制标题
医疗失误对医生的情感影响：呼吁领导力和组织问责制。
DOI：
10.5167/uzh-9997
复制
发表时间：
2008
影响因子：
2.9
通讯作者：
T. A. Boluarte
中科院分区：
文献类型：
--
作者：
D. Schwappach;T. A. Boluarte
目的
参与错误往往导致严重的健康影响，情绪困扰，以及工作人员，特别是医生的业绩和工作相关的后果。这项系统性综述的目的是评估以下方面的当前证据：a）参与医疗错误对医生的影响，B）应对错误经历的需求和经验，以及c）支持参与错误的医生的干预措施。
方法
采用预定义的检索方案和纳入标准，在两步程序中进行了系统综述，涵盖了1980年至2007年期间发表的相关文献。
结果
在3，852篇确定的候选文章中，选择了87项研究进行批判性评价，32项纳入综述。卷入医疗差错往往会引发强烈的情绪困扰，这似乎大大增加了倦怠和抑郁的风险。证据表明，这些症状和未来的次优患者护理和错误的相互循环。与同事和主管的沟通和互动被认为是医生最有用的资源。发生错误的医生通常觉得他们所在的机构不支持他们处理这种经历。
结论
许多专业人士对错误的反应是严重的情绪困扰，这些情绪可能会留下永久的情感创伤。鉴于医疗差错给医生的健康、福祉和业绩带来的重大负担，医疗保健机构和临床领导必须承担责任，并为工作人员提供正式和非正式的支持系统。
OBJECTIVE
Involvement in errors often results in serious health effects, emotional distress, as well as performance and work-related consequences in staff members, in particular physicians. The aim of this systematic review was to evaluate current evidence on a) the impact of involvement in medical errors on physicians, b) needs and experiences in coping with the experience of error, and c) interventions to support physicians involved in errors.
METHODS
A systematic review was conducted in a two-step procedure using predefined search protocols and inclusion criteria that cover the relevant literature published between 1980 and 2007.
RESULTS
Of 3,852 identified candidate articles, 87 studies were selected for critical appraisal and 32 were included in the review. Involvement in medical errors often provokes intense emotional distress that seems to considerably increase the risk for burn-out and depression. The evidence suggests a reciprocal cycle of these symptoms and future suboptimal patient care and error. Communication and interaction with colleagues and supervisors are perceived as the most helpful resource by physicians. Physicians involved in errors usually feel not supported in coping with this experience by the institutions they work in.
CONCLUSION
Many professionals respond to error with serious emotional distress, and these emotions can imprint a permanent emotional scar. Given the significant burden on physicians' health, well-being and performance associated with medical errors, health care institutions and clinical leaders have to take accountability and provide staff with formal and informal systems of support.
影响因子：
158.5
作者：
Landrigan, CP;Rothschild, JM;Czeisler, CA
通讯作者：
Czeisler, CA
影响因子：
120.7
作者：
Gallagher, TH;Waterman, AD;Levinson, W
通讯作者：
Levinson, W