Knox G E, Simpson K R, Garite T J
MMI Companies Inc., Deefield, IL, USA.
J Healthc Risk Manag. 1999 Spring;19(2):24-32. doi: 10.1002/jhrm.5600190205.
Perinatal units differ in their ability to prevent patient injury and medical malpractice litigation. Obstetrical units with favorable performance are distinguished by common organizational and clinical features. Organizationally, they resemble what behavioral scientists define as "high-reliability organizations" (i.e., the ability to operate technologically complex systems essentially without error over long periods). Clinically, practices are based on nationally recognized guidelines and/or an operational philosophy of "safety first." These organizational and clinical features are described so that physicians, nurses, and administrators might view their own clinical environments in the context of this perspective.
围产期单位在预防患者受伤和医疗事故诉讼方面的能力各不相同。表现良好的产科单位具有共同的组织和临床特征。在组织方面，它们类似于行为科学家所定义的“高可靠性组织”（即能够在很长一段时间内基本无误地运行技术复杂系统的能力）。在临床方面，实践基于国家认可的指南和/或“安全第一”的运营理念。描述这些组织和临床特征，以便医生、护士和管理人员能够从这一角度审视自己的临床环境。
