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6. Emergency physicians' experiences with defensive medicine and their motives for acting defensively - an interview study.

Author

Mikkelsen TH, Brabrand M, Christensen AF, and Andersen MK

Subjects
Humans, Male, Female, Emergency Service, Hospital, Attitude of Health Personnel, Physicians psychology, Middle Aged, Practice Patterns, Physicians' statistics & numerical data, Adult, Qualitative Research, Defensive Medicine, Motivation, Focus Groups, Emergency Medicine, Interviews as Topic
Abstract

Background: Defensive medicine (DM) has been increasingly studied in recent years. This study aims to investigate the understanding of DM and the motives for practicing DM among emergency physicians., Methods: Focus group interviews., Results: Themes identified: The understanding of DM, DM is a matter of self-confidence, DM or tests to ensure diagnosis and patient flow, DM due to confounding by availability, DM due to guidelines, Patient-initiated DM, Fear of complaints, DM in an emergency department setting., Conclusion: This study shows that emergency physicians perform an abundance of diagnostic tests and investigations but only categorize few of them as DM. The many flow-mediating tests based on guidelines may, however, mask activities that individual physicians would possibly find defensive, if it was up to them to decide based on pure and simple anamnesis and clinical findings. It might be argued that flow optimization has overruled medical clinical reasoning in some ways, thereby introducing an inclination to conduct DM.

Published
2024
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7. [General practitioners' attitudes toward reporting and learning from adverse events. Experiences from focus group interviews].

Author

Mikkelsen TH, Rubak JM, and Olesen F

Subjects
Clinical Competence standards, Family Practice statistics & numerical data, Female, Focus Groups, Humans, Male, Physicians, Family education, Surveys and Questionnaires, Attitude of Health Personnel, Family Practice standards, Physicians, Family psychology, Quality Assurance, Health Care, Risk Management organization & administration
Published
2004

8. [Possibilities for quality improvement in general practice by learning from adverse events].

Author

Mikkelsen TH, Rubak J, and Olesen F

Subjects
Family Practice statistics & numerical data, Humans, Malpractice legislation & jurisprudence, Malpractice statistics & numerical data, Medical Errors legislation & jurisprudence, Medical Errors prevention & control, Medical Errors statistics & numerical data, Medication Errors legislation & jurisprudence, Medication Errors prevention & control, Medication Errors statistics & numerical data, Registries, Safety, Family Practice standards, Quality Assurance, Health Care methods, Risk Management legislation & jurisprudence, Risk Management statistics & numerical data
Published
2004

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