دورية أكاديمية
The determinants of defensive medicine in Italian hospitals: The impact of being a second victim.
| العنوان: | The determinants of defensive medicine in Italian hospitals: The impact of being a second victim. |
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| المؤلفون: | Panella M; Department of Translational Medicine, School of Medicine, University of Eastern Piedmont, Novara, Italy., Rinaldi C; Department of Translational Medicine, School of Medicine, University of Eastern Piedmont, Novara, Italy. Electronic address: cml.rinaldi@gmail.com., Leigheb F; Department of Translational Medicine, School of Medicine, University of Eastern Piedmont, Novara, Italy., Donnarumma C; Department of Translational Medicine, School of Medicine, University of Eastern Piedmont, Novara, Italy., Kul S; Center for Applied Medical Statistics. University of Gaziantep, Gaziantep, Turkey., Vanhaecht K; Center for Health Services and Nursing Research, School of Public Health, University of Leuven, Leuven, Belgium., Di Stanislao F; Biomedical Sciences and Public Health, Università Politecnica delle Marche, Ancona, Italy. |
| المصدر: | Revista de calidad asistencial : organo de la Sociedad Espanola de Calidad Asistencial [Rev Calid Asist] 2016 Jul; Vol. 31 Suppl 2, pp. 20-5. Date of Electronic Publication: 2016 Jun 30. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier España Country of Publication: Spain NLM ID: 9601664 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1887-1364 (Electronic) Linking ISSN: 1134282X NLM ISO Abbreviation: Rev Calid Asist Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2009-> : Madrid : Elsevier España Original Publication: Barcelona : SG Editores, |
| مواضيع طبية MeSH: | Attitude of Health Personnel* , Defensive Medicine*/economics , Patient Safety*, Accidents/*psychology , Medical Errors/*psychology , Medical Staff, Hospital/*psychology , Physicians/*psychology , Stress, Psychological/*psychology, Accidents/economics ; Adult ; Age Factors ; Aged ; Cross-Sectional Studies ; Female ; Health Care Costs ; Humans ; Italy ; Liability, Legal/economics ; Male ; Malpractice/economics ; Malpractice/legislation & jurisprudence ; Medical Errors/economics ; Medicine ; Middle Aged ; Risk ; Stress, Psychological/etiology |
| مستخلص: | Background: Defensive medicine affects healthcare systems worldwide. The concerns and perception about medical liability could lead practitioners to practise defensive medicine. Second victim is a healthcare worker involved in an unanticipated adverse patient event. The role of being second victim and the other possible determinants for defensive medicine is mostly unclear. Objective: To study the condition of being second victim as a possible determinants of defensive medicine among Italian hospital physicians. Design, Setting and Participants: A secondary analysis of the database of the national survey study on the prevalence and the costs of defensive medicine in Italy that was carried out between April 2014 and June 2014 in 55 Italian hospitals was performed for this study. The demographic section of the questionnaire was selected including the physician's age, gender, specialty, activity volume, grade and the variable being a second victim after an adverse event. Results: A total sample of 1313 physicians (87.5% response rate) was used in the data analyses. Characteristics of the participants included a mean age 49.2 of years and 19.4 average years of experience. The most prominent predictor for practising defensive medicine was the physicians' experience of being a second victim after an adverse event (OR=1.88; 95%CI, 1.38-2.57). Other determinants included age, years of experience, activity volume and risk of specialty. Conclusions: Malpractice reform, effective support to second victims in hospitals together with a systematic use of evidence-based clinical guidelines, emerged as possible recommendations for reducing defensive medicine. (Copyright © 2016 SECA. Publicado por Elsevier España, S.L.U. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Costes sanitarios; Defensive medicine; Health care costs; Medical malpractice; Medicina defensiva; Negligencia médica; Second victim; Segunda víctima |
| تواريخ الأحداث: | Date Created: 20160705 Date Completed: 20171205 Latest Revision: 20171205 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.cali.2016.04.010 |
| PMID: | 27373579 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1887-1364 |
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| DOI: | 10.1016/j.cali.2016.04.010 |