Sheikh A, Hurwitz B
Department of Primary Health Care and General Practice, Imperial College School of Medicine, St Dunstan's Road, London W6 8RP.
Br J Gen Pract. 2001 Jan;51(462):57-60.
Though common and the cause of much morbidity and health cost, medical error has until recently attracted little attention from primary care workers. A database that logs medical error, operating within the context of clinical governance initiatives at the level of Primary Care Groups, could provide an appropriate framework within which to scrutinise and identify systematic organisational features associated with risk of serious adverse events. This paper discusses some of the key conceptual and methodological issues that need to be resolved before such a database can be implemented in general practice and considers these deliberations in the light of the Chief Medical Officer for England's recent report, An organisation with a memory.
尽管医疗差错很常见，且会导致大量发病情况和医疗成本，但直到最近，它才引起基层医疗工作者的些许关注。一个记录医疗差错的数据库，在基层医疗集团层面的临床治理举措背景下运行，可为审查和识别与严重不良事件风险相关的系统性组织特征提供一个合适的框架。本文讨论了在将这样一个数据库应用于全科医疗之前需要解决的一些关键概念和方法问题，并参照英格兰首席医疗官最近的报告《有记忆的组织》来考虑这些讨论。
