Nogales Espert Angel
An R Acad Nac Med (Madr). 2002;119(2):221-32; discussion 233-5.
The frequency of the error in Medicine is not well known but in any case it must be quite high. They are several types of errors: related to planning or performance, active or latent, and in relation to diagnosis, treatment or prevention. The consequences of the errors are potentially serious for both the patient and the doctor. The human factor exists in most of the errors, but this does mean the doctor is guilty. Lot of circumstances leads to the error which could not be avoidable: ambience and organization of the work, type of institution and task, and features of the patients. It is very important to lessen the numbers of errors in Medicine through registers of errors and research based on the system (not centered in the persons) in order to apply corrective measures to the system.
医学中错误的发生率尚不清楚,但无论如何肯定相当高。错误有几种类型:与规划或执行有关,主动或潜在的,以及与诊断、治疗或预防有关。这些错误的后果对患者和医生都可能很严重。大多数错误中都存在人为因素,但这并不意味着医生有罪。许多情况会导致不可避免的错误:工作环境和组织、机构类型和任务以及患者特征。通过错误登记和基于系统(而非以人为中心)的研究来减少医学中的错误数量,以便对系统采取纠正措施,这非常重要。