Fifer W R
QRB Qual Rev Bull. 1979 Aug;5(8):15-9.
The following is the second article in a two-part series examining the relationship between quality assurance and risk management functions. In part one, "Risk Management and Medical Malpractice: An Overview of the Issues," published in the April 1979 QRB, Dr. Fifer reviewed the problem of medical malpractice--the primary motivation for the present interest in risk management--and discussed the characteristics of current efforts in risk management, particularly their limitations in light of the facts about malpractice. In part two, Dr. Fifer first reviews the major quality assurance functions of the medical staff. He then focuses on methods for coordinating these quality assurance functions with the risk management function in a way that will utilize the expertise of the medical staff and create a unified, hospital-wide system intended to detect and prevent deviations from expected patient outcomes.
以下是一个分为两部分的系列文章中的第二篇，该系列文章探讨质量保证与风险管理职能之间的关系。在1979年4月的《质量审查公报》上发表的第一部分“风险管理与医疗事故：问题概述”中，菲菲尔博士回顾了医疗事故问题——当前对风险管理产生兴趣的主要动机——并讨论了当前风险管理工作的特点，特别是鉴于医疗事故的实际情况这些工作的局限性。在第二部分中，菲菲尔博士首先回顾了医务人员的主要质量保证职能。然后，他重点关注将这些质量保证职能与风险管理职能进行协调的方法，这种协调方式将利用医务人员的专业知识，并创建一个统一的全院范围系统，旨在发现并防止偏离预期患者治疗结果的情况。
