医学检验人员应该承认错误吗？

Should medical laboratorians admit mistakes?

作者信息

Vermoch K L

出版信息

Clin Leadersh Manag Rev. 2000 Sep-Oct;14(5):219-23.

Abstract

Medical errors are a significant cause of adverse patient outcomes. However, the culture of health care expects laboratorians and other caregivers to perform perfectly at all times. When mistakes occur, the emphasis often is placed on punishing the "guilty" rather than on analyzing and improving the processes that allowed the mistake to happen. Owing to a fear of punishment, laboratory staff may be afraid to report errors and mishaps. Therefore, opportunities to learn from mistakes may not be recognized. In this article, a laboratory case study is used to describe the characteristics of medical errors and the ethical dilemmas presented to care-givers when mistakes occur. The legal and cultural barriers that often prevent the handling of medical mistakes in an ethical manner also are discussed. Finally, current initiatives proposed to improve the manner of dealing with medical mistakes are described.

摘要

医疗差错是导致患者不良后果的一个重要原因。然而，医疗保健文化期望检验人员和其他护理人员始终完美地履行职责。当错误发生时，重点往往放在惩罚“有罪之人”上，而不是分析和改进导致错误发生的流程。由于害怕受到惩罚，实验室工作人员可能不敢报告错误和事故。因此，从错误中学习的机会可能无法被认识到。在本文中，通过一个实验室案例研究来描述医疗差错的特征以及错误发生时护理人员面临的伦理困境。还讨论了常常阻碍以符合伦理的方式处理医疗差错的法律和文化障碍。最后，介绍了当前为改善处理医疗差错的方式而提出的举措。