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Updated: Jun 16, 2026

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五年后 犯错是人类:我们学到了什么?
Lucian L Leape1, Donald M Berwick
1Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass 02215, USA. leape@hsph.harvard.edu
由医学研究所 (IOM) 推动的患者安全工作,已经启动了系统变化和新的医院实践. 加快进步需要国家致力于雄心勃勃的,可追踪的患者安全目标.
科学领域:
- 医疗保健的质量和安全
- 卫生系统研究 卫生系统研究
- 改善患者护理的改善
背景情况:
- 医学研究所 (IOM) 此前曾呼吁改善国家患者安全.
- 进展进展缓慢,但国际移民组织的报告将重点转移到系统性变化.
- 利益相关者的参与和医院采用安全实践的程度有所增加.
研究的目的:
- 评估国际移民组织 (IOM) 呼吁国家开展患者安全工作的影响.
- 确定加速改善患者安全的关键领域.
- 倡导国家致力于雄心勃勃的患者安全目标.
主要方法:
- 审查国际移民组织2005年报告后的进展和影响.
- 分析患者安全倡议的趋势.
- 确定未来安全改善的潜在驱动因素.
主要成果:
- 国际移民组织的报告成功地将患者安全对话重构为系统.
- 加速的关键领域包括电子健康记录,安全实践传播,团队培训和披露.
- 绩效支付模式可以激励安全,如果有效准.
结论:
- 在患者安全方面取得重大进展需要持续的国家承诺.
- 制定严格,雄心勃勃和可衡量的国家目标对于大幅改善至关重要.
- 医疗保健研究和质量署应召集利益相关者,在2010年之前制定这些目标.
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