医学与航空：比较综述
Medicine and aviation: a review of the comparison.
作者信息
Randell R
机构信息
Department of Computing Science, University of Glasgow, Glasgow G12 8QQ, United Kingdom.
出版信息
Methods Inf Med. 2003;42(4):433-6.
OBJECTIVE
This paper aims to understand the nature of medical error in highly technological environments and argues that a comparison with aviation can blur its real understanding.
METHODS
This study is a comparative study between the notion of error in health care and aviation based on the author's own ethnographic study in intensive care units and findings from the research literature on errors in aviation.
RESULTS AND CONCLUSIONS
Failures in the use of medical technology are common. In attempts to understand the area of medical error, much attention has focused on how we can learn from aviation. This paper argues that such a comparison is not always useful, on the basis that (i) the type of work and technology is very different in the two domains; (ii) different issues are involved in training and procurement; and (iii) attitudes to error vary between the domains. Therefore, it is necessary to look closely at the subject of medical error and resolve those questions left unanswered by the lessons of aviation.
目的
本文旨在了解高科技环境下医疗差错的本质，并认为与航空领域进行比较可能会模糊对其的真正理解。
方法
本研究是基于作者本人在重症监护病房的人种学研究以及航空领域差错研究文献的结果，对医疗保健和航空领域中差错概念进行的比较研究。
结果与结论
医疗技术使用中的故障很常见。在试图理解医疗差错领域时，很多注意力都集中在我们如何能从航空领域学习。本文认为这种比较并不总是有用的，原因如下：（i）两个领域的工作类型和技术差异很大；（ii）培训和采购涉及不同的问题；（iii）两个领域对差错的态度不同。因此，有必要仔细审视医疗差错这一主题，并解决航空领域经验未解答的那些问题。
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