弁護士谷直樹/医療事件のみを取り扱う法律事務所のブログ

米国外科医とアルコールと医療ミス

b0206085_10723.jpgMichael R. Oreskovich, MDらの報告によると,米国では, 7197名のうち1112名 (15.4%)の外科医は,アルコール使用障害識別テスト(AUDIT)で,アルコール中毒または依存症と評価されました.
また,過去3か月に大きな医療ミスを報告した外科医は,アルコール中毒または依存症である可能性が高い,とのことです.

Prevalence of Alcohol Use Disorders Among American Surgeons”ご参照

Arch Surg. 2012;147(2):168-174. doi:10.1001/archsurg.2011.1481

Results Of 25 073 surgeons sampled, 7197 (28.7%) completed the survey. Of these, 1112 (15.4%) had a score on the Alcohol Use Disorders Identification Test, version C, consistent with alcohol abuse or dependence. The point prevalence for alcohol abuse or dependence for male surgeons was 13.9% and for female surgeons was 25.6%. Surgeons reporting a major medical error in the previous 3 months were more likely to have alcohol abuse or dependence (odds ratio, 1.45; P < .001). Surgeons who were burned out (odds ratio, 1.25; P = .01) and depressed (odds ratio, 1.48; P < .001) were more likely to have alcohol abuse or dependence. The emotional exhaustion and depersonalization domains of burnout were strongly associated with alcohol abuse or dependence. Male sex, having children, and working for the Department of Veterans Affairs were associated with a lower likelihood of alcohol abuse or dependence.

Conclusions Alcohol abuse and dependence is a significant problem in US surgeons. Organizational approaches for the early identification of problematic alcohol consumption followed by intervention and treatment where indicated should be strongly supported.

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by medical-law | 2012-02-22 01:50 | 医療事故・医療裁判