Supporting recovery after adverse events: An essential component of surgeon well-being |
| |
| Authors: | Loren Berman Kristy L. Rialon Claudia M. Mueller Madelene Ottosen Andrea Weintraub Brian Coakley Mary L. Brandt Kurt Heiss |
| |
| Affiliation: | 1. Department of Surgery, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA;2. Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA;3. Department of Surgery, Baylor College of Medicine, Texas Children''s Hospital, Houston, TX, USA;4. Department of Surgery, Stanford University, Palo Alto, CA, USA;5. Department of Research, Cizik School of Nursing, Houston, TX, USA;6. Divisions of Newborn Medicine, The Icahn School of Medicine, New York, NY, USA;7. Pediatric Surgery, Department of Pediatrics, The Icahn School of Medicine, New York, NY, USA;8. Department of Surgery, Children''s Hospital of New Orleans, Tulane University School of Medicine, New Orleans, LA, USA;9. Department of Surgery, Children''s Healthcare of Atlanta, Emory University, Atlanta, GA, USA |
| |
| Abstract: | BackgroundFailure to recover after a medical error is a major contributor to burnout. The degree to which pediatric surgeons experience errors and the barriers and facilitators to successful recovery are largely unknown.MethodsWe conducted a survey of American Pediatric Surgical Association (APSA) members to measure frequency of personal experience with medical errors resulting in significant patient harm, describe coping mechanisms, and explore surgeon satisfaction with institutional support in the wake of an error.ResultsWe found that 80% of respondents have personally experienced a medical error resulting in significant patient harm or death, and that only about one-quarter were satisfied with the support provided by their institution. Only 11% of surgeons would prefer not to be contacted after an adverse event, and most would want to be contacted by their partners. Barriers to providing and receiving support included lack of knowledge, “shame and blame” culture, and lack of trust in the institution as an ally.ConclusionsPediatric surgeons routinely experience intense and stressful clinical scenarios and face challenging paths to recovery after adverse events. Institutions and national societies can play a critical role in creating infrastructure to help surgeons recover, in order to prevent burnout and promote well-being. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
