[患者安全4.0:"本周的失败"这一切都是关于角色模拟!]
Francis Ulmer1, Rabea Krings2, Christoph Häberli2
1Pädiatrische Intensivbehandlung, Universitätsklinik für Kinderheilkunde, Inselspital CH-3010 Bern, Schweiz.
Deutsche medizinische Wochenschrift (1946)
|June 12, 2023
概括
"本周的错误"会议鼓励医生公开讨论错误,促进心理安全和减少医疗错误. 这一举措促进了学习文化,并改善了患者的护理.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 医疗错误和差点失误的高率仍然存在.
- 传统的传统传统的传统
- 名字-责怪-羞耻的耻辱
- 文化不鼓励公开讨论错误.
- 需要安全的空间来讨论错误并提高患者的安全.
结论:
- MOTW会议提供了一种有效的模型,可以缓解层次结构,并促进对医疗错误的公开讨论.
- 它培养了一种可持续的组织动态,有利于从错误中学习.
- 最终的目标是通过无责的学习环境来改善患者的护理和安全.
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