Abstract:
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.
journal_name
Postgrad Med Jjournal_title
Postgraduate medical journalauthors
Hooper P,Kocman D,Carr S,Tarrant Cdoi
10.1136/postgradmedj-2014-133045subject
Has Abstractpub_date
2015-05-01 00:00:00pages
251-6issue
1075eissn
0032-5473issn
1469-0756pii
postgradmedj-2014-133045journal_volume
91pub_type
杂志文章abstract::Peripheral lymphadenopathy is rarely observed, whereas mesenteric lymphadenopathy is found occasionally on laparotomies in patients with familial Mediterranean fever (FMF). Retroperitoneal lymphadenopathy was reported only once in an autopsy of a patient with FMF. Our case is the second one, and the first one to be di...
journal_title:Postgraduate medical journal
pub_type: 杂志文章,评审
doi:10.1136/pgmj.65.768.776
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abstract:OBJECTIVE:Since many years, teaching and training in communication skills are cornerstones in the medical education curriculum. Although video recording in a real-time consultation is expected to positively contribute to the learning process, research on this topic is scarce. This study will focus on the feasibility an...
journal_title:Postgraduate medical journal
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journal_title:Postgraduate medical journal
pub_type: 杂志文章,评审
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journal_title:Postgraduate medical journal
pub_type: 杂志文章
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abstract::The relative prevalence of abnormalities of coronary flow reserve and oesophageal function was ascertained in 32 syndrome X patients with typical angina chest pain, a positive exercise test, and normal coronary arteries. Coronary flow reserve in response to a hyperaemic dose of papaverine was measured using an intraco...
journal_title:Postgraduate medical journal
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pub_type: 杂志文章,评审
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journal_title:Postgraduate medical journal
pub_type: 杂志文章
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journal_title:Postgraduate medical journal
pub_type: 临床试验,杂志文章
doi:
更新日期:1980-01-01 00:00:00
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journal_title:Postgraduate medical journal
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pub_type: 杂志文章,评审
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更新日期:2000-01-01 00:00:00
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journal_title:Postgraduate medical journal
pub_type: 杂志文章,评审
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journal_title:Postgraduate medical journal
pub_type: 杂志文章
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更新日期:1988-03-01 00:00:00
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journal_title:Postgraduate medical journal
pub_type: 杂志文章
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更新日期:1988-11-01 00:00:00
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journal_title:Postgraduate medical journal
pub_type: 杂志文章,评审
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更新日期:2014-10-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Postgraduate medical journal
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journal_title:Postgraduate medical journal
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pub_type: 杂志文章
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journal_title:Postgraduate medical journal
pub_type: 杂志文章,多中心研究
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journal_title:Postgraduate medical journal
pub_type: 杂志文章,评审
doi:
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pub_type: 杂志文章,评审
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journal_title:Postgraduate medical journal
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更新日期:2003-06-01 00:00:00