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Why are junior doctors reluctant to consult attending physicians?

机译:为什么初级医生不愿咨询主治医生?

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A physician performs two tasks: making diagnoses and determining treatments. To reduce medical error, junior doctors are supposed to consult their supervisors when they face uncommon circumstances. However, recent research shows that junior doctors are reluctant to do so. This paper presents a model that explains (ⅰ) which junior doctors shy away from consulting; (ⅱ) when junior doctors are reluctant; (ⅲ) the importance of protocols in the medical sector; and (ⅳ) when consulting is a sign of strength or a sign of weakness. Furthermore, I show that encouraging junior doctors to consult by investigating mishaps leads to another distortion: they will give too much weight to own assessments.
机译:医师执行两项任务:进行诊断和确定治疗方法。为了减少医疗错误,初级医生应在遇到罕见情况时咨询主管。但是,最近的研究表明,初级医生不愿意这样做。本文提出了一个模型,该模型解释(ⅰ)哪些初级医生不愿咨询医生。 (ⅱ)当初级医生不愿意时; (ⅲ)协议在医疗领域的重要性; (ⅳ)当咨询是一种力量的标志或力量的减弱的标志。此外,我表明,通过调查不幸事故来鼓励初级医生进行咨询会导致另一种失真:他们将过多地权衡自己的评估。

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