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患者安全与医疗系统的持续改进 被引量:30

Patient safety and sustainable improvement of medical system
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摘要 20世纪90年代以来,患者安全的问题受到世界各国的重视,国际上几个探讨医疗错误的大规模流行病学研究所,特别是1999年美国医学研究所发表了著名的报告——“错误凡人皆有:构建一个更安全的卫生系统,”揭露了在目前的医疗环境中存在的相当程度的医疗错误与风险。本文概述了全球面临患者安全问题的挑战;应对患者安全挑战的国内外动态;以及安全医疗环境的建立应该妥善处理个人责任与管理系统原因的关系,摈弃苛责个人的文化而以系统改善为导向的思考;最后就促进医疗质量和患者安全的持续改进提出了建议。 Since 1990s, patient safety has been paid attention by various countries in the whole world. American Medical Institute, one of the international large-scale epidemiology institutes for exploring medical mistakes, published a famous article in 1999: Everybody makes mistakes: Establishment of safer medical system, which reveals serious mistakes and risks existed in medical care. The present article summarizes challenges of patient safety in the whole world and trends of handling patient safety challenges at home and abroad. It says that the establishment of safety medical environment is to properly handle the relationship between individual responsibility and causes of management system, give up thoughts of criticizing individual culture but try every means to improve the system instead. The author also puts forward suggestions for sustainable improvement in medical care quality and patient safety.
作者 陈同鑑 赵萍
出处 《中国医院》 2005年第2期2-4,共3页 Chinese Hospitals
关键词 患者 医疗系统 医疗环境 医学研究所 流行病学研究 医疗质量 卫生系统 持续改进 安全 挑战 Medical care quality, Patient safety, Medical culture, Reporting system, Suggestions.
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参考文献6

  • 1World Allianoe for Patient Safetyforward programme, October 2004
  • 2医学鉴定任重道远,健康报,2004年9月7日
  • 3高也陶.美国普及病人安全知识的分析与思考[J].中国医院,2002,6(11):56-59. 被引量:15
  • 4Crossing the Quality Chasm: A New Health System for the 21st Century (Report ofIOM), March 2001
  • 5JCAHO: Facts about the 2004National Patient Safety Goals
  • 6To err is human: Building a safer health system (Report of IOM), November 1999.

二级参考文献10

  • 1The Quality Interagency Coordination Task Force (QuIC),Doing What Counts for Patient Safety: Federal Actions to Reduce Medical Errors and Their Impact(Report to the President).February2000
  • 2高也陶.从美国的措施看政府干预医疗差错与纠纷,待发表.
  • 3Bagian JP,Gosbee JW. Developing a culture of patient safety at the VA. Ambul outreach 2000 Spring:25-9
  • 4Lester H, Tritter JQ. Medical error: a discussion of the medical construction of error and suggestions for reforms of medical education to decrease error. Med Educ 2001 Sep;35(9):855-61
  • 5Berman S. The AMA clinical quality improvement forum on addressing patient safety,Jt Comm J Qual Improv 2000 Jul;26(7):428-33
  • 6AHRQ issues critical analysis of patient safety practices. Qual Lett Healthc Lead 2001 Aug;13(8):8-12,1
  • 7Making health care safer:a critical analysis of patient safety practices.Evid Rep Technol Assess(Summ). 2001;(43):i-x,1-668. Review.
  • 8Combes JR, Scanlan CF, Priselac TM. Status of quality initiatives:one year after the Institute of Medicine's report. Mich Health Hosp 2001 Mar-Apr;37(2):16-9
  • 9Eisenberg JM, Foster NE, Meyer G, et al. Federal efforts to improve quality of care: the Quality Interagency Coordination Task Force (QuIC). Jt Comm J Qual Improv 2001 Feb;27(2):93-100
  • 10徐红平,胡丰涵,崔建华.医患利益保护下的医疗纠纷赔偿[J].法律与医学杂志,2000,7(1):38-39. 被引量:11

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