Medical malpractice in hospitals—how healthcare staff feel

Frontiers in Public Health

Public Health

Te-Feng Yeh¹  Pei-Yi Lin²  Yu-Ying Ho²  Ai-Chu Yao²  Ya-Hui Yah²  Chieh-Liang Wu³  Cheng-Hsu Chen⁴  Yu Huei You⁵  Chia-Min Hsiao⁵  Shang-Feng Tsai⁶ 

[1] Department of Healthcare Administration, Central Taiwan University of Science and Technology, Taichung, Taiwan;Department of Nursing, Taichung Veterans General Hospital, Taichung, Taiwan;Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan;Department of Critical Care Medicine, Taichung Veterans General Hospital, Taichung, Taiwan;Division of Nephrology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan;Department of Life Science, Tunghai University, Taichung, Taiwan;Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan;Office of Social Work, Taichung Veterans General Hospital, Taichung, Taiwan;School of Medicine, National Yang-Ming University, Taipei, Taiwan;Division of Nephrology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan;Department of Life Science, Tunghai University, Taichung, Taiwan;Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan;

关键词: medical malpractice;    medical dispute;    medical malpractice stress syndrome;    posttraumatic stress disorder;    Stanford Acute Stress Reaction Questionnaire;    Impact of Event Scale-Revised;   

DOI  :  10.3389/fpubh.2023.1080525

 received in 2023-01-13, accepted in 2023-05-12,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionLiterature is limited on quantified acute stress reaction, the impact of event scale on medical staff when facing medical malpractice (MMP), and how to individually care for staff.MethodsWe analyzed data in the Taichung Veterans General Hospital from October 2015 to December 2017, using the Stanford Acute Stress Reaction Questionnaire (SASRQ), the Impact of Event Scale-Revised (IES-R), and the medical malpractice stress syndrome (MMSS).Results and DiscussionOf all 98 participants, most (78.8%) were women. Most MMPs (74.5%) did not involve injury to patients, and most staff (85.7%) indicated receiving help from the hospital. The internal-consistency evaluations of the three questionnaires showed good validity and reliability. The highest score of IES-R was the construct of intrusion (30.1); the most severe construct of SASRQ was “Marked symptoms of anxiety or increased arousal,” and the most were having mental and mild physical symptoms for MMES. A higher total IES-R was associated with younger age (<40 y/o), and more severe injury on patients (mortality). Those who indicated receiving very much help from the hospital were those having significantly lower SASRQ sores. Our study highlighted that hospital authorities should regularly follow up on staff’s response to MMP. With timely interventions, vicious cycles of bad feelings can be avoided, especially in young, non-doctor, and non-administrative staff.

【 授权许可】

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Copyright © 2023 Tsai, Wu, Ho, Lin, Yao, Yah, Hsiao, You, Yeh and Chen.