■缺乏患者安全研究阻碍了提高医疗保健安全性的能力。超声波通常被认为是“安全”,因为它不使用电离辐射,对患者安全的简单看法。了解超声医师对患者安全的行动至关重要;然而,自我报告的措施不能总是预测行为。这项研究是探索医学诊断超声中患者安全性的博士学位的一部分。本文的目的是探讨超声医师对本研究第一部分中确定的患者安全问题的反应。该研究的最终目标是告知博士研究的最后阶段,该阶段将考虑提高患者所经历的医疗保健质量和安全性的下一步。
■使用半结构化,一对一的采访。计划行为理论(TPB)解释了超声检查者在实践中如何应对感知到的患者安全风险。
■采访了31名超声医师。根据研究第一部分确定的七个主题,结果表明,在识别患者安全风险和在实践中采取的措施来管理这些风险之间存在不一致。
■TPB表明,行为,规范和控制信念会影响超声医师在实践中对患者安全风险的反应,并可能导致风险规避。超声波缺乏监管在处理健身实践问题时提出了挑战。需要采取集体行动,以支持超声医师采取适当行动,以增强包括认证机构在内的多个利益相关者的患者安全。监管机构,教育机构和雇主。
UNASSIGNED: A lack of patient safety research hampers capacity to improve safety in healthcare.Ultrasound is often considered \'safe\' as it does not use ionising radiation, a simplistic view of patient safety. Understanding sonographers\' actions towards patient safety is crucial; however, self-reported measures cannot always predict behaviour. This study is part of a PhD exploring patient safety in medical diagnostic ultrasound. The aim of this paper is to explore sonographers\' responses to the patient safety concerns identified in Part one of this study. The ultimate aim of the study is to inform the final phase of the doctoral study which will consider the next steps in improving the quality and safety of healthcare experienced by patients.
UNASSIGNED: A qualitative study using semi-structured, one-on-one interviews. The Theory of Planned Behaviour (TPB) explained how sonographers respond to perceived patient safety risks in practice.
UNASSIGNED: Thirty-one sonographers were interviewed. Based on the seven themes identified in Part one of the study, results showed that incongruences exist between identifying patient safety risks and the actions taken in practice to manage these risks.
UNASSIGNED: The TPB showed that behavioural, normative and control beliefs impact sonographers\' responses to perceived patient safety risks in practice and can lead to risk avoidance. Lack of regulation in ultrasound creates a challenge in dealing with Fitness to Practice issues. Collective actions are required to support sonographers in taking appropriate actions to enhance patient safety from multiple stakeholders including accreditation bodies, regulatory authorities, educational institutions and employers.