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Accidents dont happen any more: junior doctors experience of fatal accident inquiries in Scotland

机译:事故不再发生:苏格兰初级医生的致命事故询问经验

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摘要

>Objective: To determine the experience of junior doctors cited as witnesses at fatal accident inquiries (FAIs). >Design: Retrospective questionnaire study. >Setting and subjects: 40 junior doctors who had been involved in FAIs from January 1998 to August 2002 were identified by the Medical Protection Society and Medical and Dental Defence Union of Scotland: 21 completed questionnaires were returned, a response rate of 52.5%. >Results: The process and objectives of FAIs were poorly understood. Few participants were proactive in contacting their defence union. There was a perceived lack of both formal and informal supports with respondents describing a "blame culture" within the medical profession. The experience of the FAI was generally considered stressful with respondents describing possible improvements relating to support, information, training, and the FAI procedure. >Conclusions: Junior medical staff are poorly informed in this medicolegal area. There is a need for the development of mechanisms both to support junior doctors and to ensure that adverse incidents are dealt with using modern risk management techniques to minimise the risk of recurrence.
机译:>目标:确定在致命事故询问(FAI)中被引为证人的初级医生的经验。 >设计:回顾性问卷调查研究。 >背景和主题:苏格兰医学保护协会和苏格兰医学与牙科防御联盟确定了1998年1月至2002年8月参与FAI的40位初级医生:返回了21份完整的问卷,率为52.5%。 >结果:对固定资产投资的过程和目标了解甚少。很少有参与者主动联系他们的国防联盟。受访者表示缺乏正式和非正式的支持,而被访者描述了医学界的“怪罪文化”。 FAI的经验通常被认为压力很大,受访者描述了与支持,信息,培训和FAI程序有关的可能改进。 >结论:在该法医学领域,初级医务人员的情况较差。需要开发一种机制来支持初级医生并确保使用现代风险管理技术来处理不良事件,以最大程度地降低复发风险。

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