医生职业倦怠与医疗差错的相关性分析

Analysis of the correlation between doctors' job burnout and medical errors

目的 了解医生职业倦怠与医疗差错的相关性.方法 第一阶段于2013年6月随机抽取福建医科大学附属第一医院300名医生,进行医生职业倦怠及医疗差错的横断面回顾性调查,调查内容包括人口学基本情况、自我评估的职业倦怠和医疗差错情况;第二阶段选取第一阶段中未发生医疗差错的231名医生进行前瞻性研究,重点随访观测其半年内发生医疗差错的情况.结果 医疗差错显著影响医生职业倦怠;以职业倦怠情感衰竭、去人性化及个人成就感这3个变量为自变量,以是否发生一般差错或严重差错分别为因变量,进行多元logistic回归分析,综合评价结果与这3个自变量间存在直线关系.结论 不同类别的医疗差错均影响职业倦怠的发生;职业倦怠3个维度的得分可以成为不同类别医疗差错发生的预测因子.

Objective To identify the correlation between doctors' job burnout and medical errors.Methods In stage 1,a cross-sectional retrospective survey on doctors' job burnout and medical errors was conducted for 300 doctors serving in the First Affiliated Hospital of Fujian Medical University,who were randomly sampled in June 2013.The survey covered basic demographic information,self-assessed job burnout and medical errors.In stage 2,231 doctors without medical errors in stage 1 were selected for a prospective study focusing on a follow-up on their medical errors within half a year.Results Medical errors were found to influence job burnout of doctors significantly.Multiple logistic regression analysis was made based on the three independent variables of A-emotional exhaustion,B-depersonalization,and C personal sense of accomplishment,and the dependent variables Y1 and Y2 indicating the occurrence or non-occurrence of common medical errors or serious medical errors,respectively.The calculation aims to identify if there is line relationship among the three independent variables.Conclusions This study suggests that all kinds of medical errors influence job burnout;scores of the three dimensions of job burnout may be predictors of occurrence of different medical errors.