Hurwitz Brian
King's College London.
Br J Gen Pract. 2002 Oct;52 Suppl(Suppl):S26-30.
This paper discusses error type their possible consequences and the doctors who make them. There is no single, all-encompassing typology of medical errors. They are frequently multifactorial in origin and use from the mental processes of individuals; from defects in perception, thinking reasoning planning and interpretation and from failures of team-working omissions and poorly executed actions. They also arise from inadequately designed and operated healthcare systems or procedures. The paper considers error-truth relatedness, the approach of UK courts to medical errors, the learning opportunities which flow from error recognition and the need for personal and professional self awareness of clinical fallibilities.
本文讨论了错误类型、其可能的后果以及犯错误的医生。医学错误没有单一的、包罗万象的类型学。它们的起源往往是多因素的,源于个人的心理过程;源于感知、思维、推理、规划和解释方面的缺陷,以及团队合作失误、疏忽和执行不力的行为。它们也源于设计和运行不当的医疗保健系统或程序。本文考虑了错误与事实的相关性、英国法院对医疗错误的处理方式、从错误识别中获得的学习机会,以及个人和专业人员对临床易犯错误的自我认识的必要性。