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首页> 外文期刊>International journal of learning and intellectual capital >The Determinants Of Professional Incompetence: An Analysis Of Medical Errors From The Intellectual Capital Perspective
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The Determinants Of Professional Incompetence: An Analysis Of Medical Errors From The Intellectual Capital Perspective

机译：职业无能的决定因素：从智力资本的角度对医疗错误的分析

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According to an estimation from the Institute of Medicine (IOM) (1999), 44 000 to 98 000 people died from medical errors in the USA. Medical errors are considered as the most important quality-related performance indicator for both healthcare organisations and professionals. This study applied the analytical framework of intellectual capital by Edvinsson and Malone (1997) to explore the factors associated with professional incompetence with a sample of 407 Taiwanese surgeons. Intellectual capital has been proposed to capture the intangible aspect of organisational process. We proposed that doctors' professional incompetence cannot be considered as individual-level attributes, but should be examined as the results determined by multiple interactions among human, social and organisational capital. The results of the study revealed that among all the types of medical errors reported by surgeons, the types that occur most often are misdiagnosis and delay diagnosis. Higher professional training is more likely to reduce the incidence of adverse surgical errors. Organisational capital, including establishing a formal reporting procedure, feedback mechanisms and the reduction of interruptions during surgery, can all reduce the reported surgical errors. Surgeons who frequently change their practicing organisations are less likely to accumulate hospital-specific experiences, which are needed for effective surgical teamwork, and are consequently more likely to have surgical errors. Professional incompetence, measured by medical errors, can reflect the multiple interactions between different components of intellectual capital in healthcare organisations.
机译：根据医学研究所（IOM）的估计（1999年），在美国，有4.4万人至98万人死于医疗错误。对于医疗保健组织和专业人员而言，医疗错误均被视为与质量相关的最重要的绩效指标。这项研究运用Edvinsson和Malone（1997）的智力资本分析框架，以407名台湾外科医生为样本，探讨了与专业能力不足有关的因素。已经提出了智力资本来捕获组织过程的无形方面。我们提出，医生的专业能力不能被视为个人层面的属性，而应被视为由人力，社会和组织资本之间的多重相互作用所决定的结果。研究结果表明，在外科医生报告的所有医疗错误类型中，最常见的类型是误诊和延误诊断。接受更高水平的专业培训更有可能减少不良手术错误的发生。组织资本，包括建立正式的报告程序，反馈机制和减少手术过程中的中断，都可以减少报告的手术错误。经常更换其执业机构的外科医生不太可能积累医院特有的经验，这是有效的外科团队合作所必需的，因此更有可能出现手术失误。通过医疗错误衡量的专业能力不足，可以反映医疗保健组织中智力资本的不同组成部分之间的多种相互作用。

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