Junior doctors' views on reporting concerns about patient safety: a qualitative study
Junior doctors' views on reporting concerns about patient safety: a qualitative study
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DOI：
10.1136/postgradmedj-2014-133045
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发表时间：
2015-05-01
影响因子：
5.1
通讯作者：
Tarrant, Carolyn
中科院分区：
文献类型：
--
作者：
Hooper, Patricia;Kocman, David;Tarrant, Carolyn
使医护人员能够报告问题对于提高患者安全至关重要。初级医生是最不可能参与事件报告的群体之一。这对现在和未来都很重要，因为许多人最终将担任领导职务。鲜为人知的是，初级医生的态度正式报告concerns.Aims探讨的态度和障碍，初级医生正式报告病人的安全问题，他们正在training.Methods的组织，包括三个焦点小组的定性研究10名初级医生在急性教学医院信托在英国中部地区，在2013年进行。焦点小组的讨论逐字转录和分析使用的主题方法，促进NVivo 10.Results参与者的支持的想法，发挥作用，帮助医疗机构变得更加意识到患者安全的风险，但确定现有的事件报告系统可能会挫败努力报告的关注。他们描述了报告的障碍，包括缺乏榜样和高层领导，医疗界的文化不利于报告关切问题，以及缺乏反馈，证明正式报告是值得的。他们报告的倾向，依靠非正式的方式来处理的问题，作为一种替代参与正式的报告system.Conclusions，如果医疗机构能够收集和学习的情报风险，从初级医生的病人安全，这将需要注意的功能报告系统，以及层次结构和更广泛的文化背景下，初级医生的工作的影响。
Background Enabling healthcare staff to report concerns is critical for improving patient safety. Junior doctors are one of the groups least likely to engage in incident reporting. This matters both for the present and for the future, as many will eventually be in leadership positions. Little is known about junior doctors' attitudes towards formally reporting concerns.Aims To explore the attitudes and barriers to junior doctors formally reporting concerns about patient safety to the organisations in which they are training.Methods A qualitative study comprising three focus groups with 10 junior doctors at an Acute Teaching Hospital Trust in the Midlands, UK, conducted in 2013. Focus group discussions were transcribed verbatim and analysed using a thematic approach, facilitated by NVivo 10.Results Participants were supportive of the idea of playing a role in helping healthcare organisations become more aware of risks to patient safety, but identified that existing incident reporting systems could frustrate efforts to report concerns. They described barriers to reporting, including a lack of role modelling and senior leadership, a culture within medicine that was not conducive to reporting concerns, and a lack of feedback providing evidence that formal reporting was worthwhile. They reported a tendency to rely on informal ways of dealing with concerns as an alternative to engaging with formal reporting systems.Conclusions If healthcare organisations are to be able to gather and learn from intelligence about risks to patient safety from junior doctors, this will require attention to the features of reporting systems, as well as the implications of hierarchies and the wider cultural context in which junior doctors work.