Handler J A, Gillam M, Sanders A B, Klasco R
Division of Emergency Medicine, Northwestern University Medical School, Chicago, IL 60611, USA.
Acad Emerg Med. 2000 Nov;7(11):1183-8. doi: 10.1111/j.1553-2712.2000.tb00462.x.
The findings of a consensus committee created to address the definition, measurement, and identification of error in emergency medicine (EM) are presented. The literature of error measurement in medicine is also reviewed and analyzed. The consensus committee recommended adopting a standard set of terms found in the medical error literature. Issues surrounding error identification are discussed. The pros and cons of mandatory reporting, voluntary reporting, and surveillance systems are addressed, as is error reporting at the clinician, hospital, and oversight group levels. Committee recommendations are made regarding the initial steps EM should take to address error. The establishment of patient safety boards at each institution is also recommended.
本文介绍了一个旨在解决急诊医学（EM）中错误的定义、测量和识别问题的共识委员会的研究结果。同时，对医学中错误测量的文献进行了回顾和分析。共识委员会建议采用医学错误文献中发现的一套标准术语。讨论了围绕错误识别的问题。探讨了强制报告、自愿报告和监测系统的优缺点，以及临床医生、医院和监督小组层面的错误报告情况。委员会就急诊医学应采取的解决错误的初步措施提出了建议。还建议在每个机构设立患者安全委员会。
