SummaryBackgroundAnaesthetic training has always had patient safety as part of the curriculum. However, there is limited emphasis on what happens when things do not go to plan. Our aims were to understand the impact of involvement in patient safety incidents on anaesthetic trainees in our region, to describe the range of support currently offered and put forward suggestions for improvement.MethodsAn initial electronic survey was sent to all anaesthetic trainees in a single UK healthcare region to capture qualitative and quantitative information on patient safety incidents. After completing the questionnaire, participants were asked to consent to involvement in a semi‐structured interview to provide a more detailed understanding of the impact of safety incidents. Data were analysed from the questionnaires and interview transcripts using descriptive statistics and thematic analysis.ResultsThirty‐four completed questionnaires were analysed revealing 27 trainees had been involved in a patient safety incident. Ten semi‐structured interviews were conducted and six themes were identified: team dynamics (including adequacy of staffing and supportive departmental culture); context of the event; reflex immediate support post‐event; working environment pending completion of the investigation; personal impact (including physical and mental health); and suggestions for future support.ConclusionThis study has shown the significant impact of safety incidents on anaesthetic trainees in one training region in the UK and highlights the importance of implementing early, tailored debriefs led by trained facilitators, the value of a supportive work environment and the need to raise awareness of system‐based approaches to learning from incident investigations. Further research should guide the format and delivery of support for trainees to provide more helpful and timely interventions after patient safety incidents and reduce the risk of future harm to both patients and trainees.

中文翻译：

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麻醉中的患者安全事件：来自英国单一医疗保健地区的实习生体验的定性研究*


摘要背景麻醉培训一直将患者安全作为课程的一部分。然而，对事情没有按计划进行时会发生什么的强调有限。我们的目标是了解参与患者安全事件对我们地区麻醉实习生的影响，描述目前提供的支持范围并提出改进建议。方法向英国单个医疗保健地区的所有麻醉实习生发送了初步电子调查，以获取有关患者安全事件的定性和定量信息。完成问卷后，参与者被要求同意参与半结构化访谈，以更详细地了解安全事故的影响。使用描述性统计和主题分析从问卷和访谈记录中分析数据。结果对 34 份已完成的问卷进行了分析，显示 27 名受训者参与了一起患者安全事件。进行了 10 次半结构化访谈，确定了 6 个主题：团队动力（包括人员配备的充足性和支持性的部门文化）;事件的背景;事件后反射即时支持;待调查完成的工作环境;个人影响（包括身心健康）;以及对未来支持的建议。结论这项研究显示了安全事故对英国一个培训地区的麻醉实习生的重大影响，并强调了由训练有素的辅导员领导的早期、量身定制的汇报的重要性、支持性工作环境的价值以及提高对基于系统的方法的认识从事件调查中学习的必要性。 进一步的研究应指导对受训者的支持形式和交付，以便在患者安全事件后提供更有用和及时的干预措施，并降低未来对患者和受训者造成伤害的风险。