Runciman W B
Department of Anaesthesia and Intensive Care, Royal Adelaide Hospital, North Terrace, Adelaide, SA 5000, Australia.
Qual Saf Health Care. 2002 Sep;11(3):246-51. doi: 10.1136/qhc.11.3.246.
The evolution of the concepts and processes underpinning the Australian Patient Safety Foundation's systems over the last 15 years are traced. An ideal system should have the following attributes: an independent organisation to coordinate patient safety surveillance; agreed frameworks for patient safety and surveillance systems; common, agreed standards and terminology; a single, clinically useful classification for things that go wrong in health care; a national repository for information covering all of health care from all available sources; mechanisms for setting priorities at local, national and international levels; a just system which caters for the rights of patients, society, and healthcare practitioners and facilities; separate processes for accountability and "systems learnings"; the right to anonymity and legal privilege for reporters; systems for rapid feedback and evidence of action; mechanisms for involving and informing all stakeholders. There are powerful reasons for establishing national systems, for aligning terminology, tools and classification systems internationally, and for rapid dissemination of successful strategies.
追溯了过去15年澳大利亚患者安全基金会系统所依据的概念和流程的演变。一个理想的系统应具备以下属性：一个独立的组织来协调患者安全监测；关于患者安全和监测系统的商定框架；通用、商定的标准和术语；针对医疗保健中出现的问题的单一、临床实用的分类；一个涵盖来自所有可用来源的所有医疗保健信息的国家信息库；在地方、国家和国际层面确定优先事项的机制；一个公正的系统，满足患者、社会以及医疗从业者和医疗机构的权利；问责和“系统学习”的单独流程；记者享有匿名权和法律特权；快速反馈和行动证据的系统；让所有利益相关者参与并告知他们信息的机制。建立国家系统、在国际上统一术语、工具和分类系统以及迅速传播成功策略有充分的理由。
