当事情出错时:检查妇产科住院医师中严重事件的频率和后果。

Q4 Medicine

Connecticut Medicine Pub Date : 2017-05-01

Abigail Cutler, Jonathan D Black, Sangini S Sheth, Shefali Pathy

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引用次数: 0

摘要

目的:了解妇产科住院医师在住院期间发生危重事件(CIs)及参与事后述职的频率。方法:采用问卷调查的方法，调查住院医师在培训过程中出现心理健康问题的频率、应对心理健康问题的能力以及事后述职对心理健康问题的影响。结果:在27名接受调查的住院医师(93.1%)中，82.6%的人报告在住院期间参与过一次或多次ci。按训练水平分层时，ci的累积次数有统计学上的显著差异。在CI之后，39.2%的居民报告有机会听取汇报，只有30.4%的人“总是”得到足够的支持来应对。在听取了汇报的人中，100%的人认为这有助于他们处理事件。结论:妇产科住院医师在培训期间经常出现ci。事后汇报不是常态，但却是需要的，可以帮助住院医生处理困难的临床情况。

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When Things Go Wrong: Examining the Frequency and Aftermath of Critical Incidents Among OBGYN Residents.

Objective: To examine the frequency with which obstetrics and gynecology (OBGYN) residents experience critical incidents (CIs) during residency and participate in postincident debriefing.

Methods: A survey was conducted to examine the frequency of CIs during training, abilities of residents to cope with CIs, and the impact of postincident debriefing.

Results: Among the 27 residents who responded (93.1%), 82.6% reported involvement in one ormore CIs during residency. There was a statistically significant difference in the cumulative number of CIs experienced when stratified by level of training. Following a CI, 39.2% of residents reported having an opportunity to debrief and only 30.4% "always" had enough support to cope. Among those who had debriefed, 100% felt that it had helped them to process the incident.

Conclusion: OBGYN residents frequently experience CIs during their training years. Postincident debriefing is not the norm but is desired and may help residents process difficult clinical situations.

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来源期刊

Connecticut Medicine Medicine-Medicine (all)

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期刊介绍： The Connecticut State Medical Society (CSMS) is a federation of eight component county medical associations, with a total membership exceeding 7,000 physicians. CSMS itself is a constituent state entity of the American Medical Association. Founded by the physician-patriots of the American Revolution, the Society operates from a heritage of democratic principles embodied in its Charter and Bylaws. The base of all authority in CSMS is, of course, the individual physician member. It is the decisions of members in their own county associations that ultimately determine the nature of the Society"s policies and activities.