周围操作安全:是时候放弃我们的工具了
1Department of Anesthesiology and Critical Care Medicine, Moffitt Cancer Center, Tampa, Florida, USA.
Current opinion in anaesthesiology
|November 3, 2025
概括
患者安全的进展已经停滞不前. 需要采取新的方法,从基于赤字的模型转向了解安全的工作实践,避免阻碍医疗保健进步的过时工具.
科学领域:
- 医疗保健的质量和安全
- 组织心理学 组织心理学
背景情况:
- 自从"犯错是人类"报告以来,患者安全的进展已经停滞不前.
- 基于缺陷的传统患者安全模型是不够的.
研究的目的:
- 识别阻碍进展的常用患者安全工具.
- 为推进患者安全提出替代性范式.
主要方法:
- 审查现有的患者安全文献和模型.
- 分析"基于缺陷的"与"补充的"安全方法.
主要成果:
- 当前的患者安全工具和方法可能会阻碍进展.
- 建议转向了解安全工作的基础.
结论:
- 重新思考依赖人类错误作为主要原因是必要的.
- 医疗保健的复杂性需要非线性系统方法,而不是严格的目标设定.
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