"Quod licet Chefarzt …": The Impact of Perceived Hierarchy on Working Atmosphere and Quality of Work in Orthopaedic and Trauma Surgery. Results of a Survey Among 799 Orthopaedic and Trauma Surgeons in Germany.
| Autor: | Seemann RJ; Centre for Musculoskeletal Surgery, Charité - University Medicine Berlin., Münzberg M; Centre for Interdisciplinary Rescue and Emergency Medicine (CiRN), BG Trauma Centre, Ludwigshafen., Mutschler M; Department for Foot and Ankle Surgery, Johanniter Waldkrankenhaus, Cologne., Sterz J; Department for Trauma, Hand and Reconstructive Surgery, Johann Wolfgang Goethe University, Frankfurt/Main., Hoffmann R; Trauma and Orthopaedic Surgery, BG Trauma Centre, Frankfurt am Main., Ruesseler M; Department for Trauma, Hand and Reconstructive Surgery, Johann Wolfgang Goethe University, Frankfurt/Main. |
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| Jazyk: | English; German |
| Zdroj: | Zeitschrift fur Orthopadie und Unfallchirurgie [Z Orthop Unfall] 2021 Dec; Vol. 159 (6), pp. 631-637. Date of Electronic Publication: 2020 Aug 03. |
| DOI: | 10.1055/a-1200-2696 |
| Abstrakt: | Introduction: Surgical departments are discredited as guardians of traditional structures of hierarchy. Hierarchy and working climate have a large share in human factor, being made responsible for 70% of avoidable errors in medicine. Aim of this study was the assessment of these topics amongst physicians in the field of orthopedics and traumatology. Material and Methods: A questionnaire of 10 questions was digitally handed to DGOU members. 799 questionnaires were answered. Results: We found significant differences in the assessment of hierarchy and working atmosphere amongst the physician groups. Working atmosphere was perceived as not appreciative by registrars only. All groups were in favor of a hierarchy rather close to, but nut absolutely on equal terms. All groups attach high influence of working atmosphere on quality of daily work. Discussion: Literature shows that hierarchic differentiation can increase performance of a team, while rigid hierarchy structures can lead to mistakes. Although hierarchy in orthopedics and traumatology seems to be less pronounced than assumed, hierarchy has great influence on daily work. Conclusion: In order to achieve a safety oriented medical environment, it will be of great importance to define hierarchy structures in clinics and to utilize them efficiently as a part of safety culture. Competing Interests: The authors declare that they have no conflict of interest./Die Autorinnen/Autoren geben an, dass kein Interessenkonflikt besteht. (Thieme. All rights reserved.) |
| Databáze: | MEDLINE |
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