Bumpus Lisa, al-Assaf Al F
Department of Health Admin. & Policy, University of Oklahoma Health Sciences Center, PO Box 26901, Oklahoma City, OK 73190, USA.
J Cardiovasc Manag. 2003 Sep-Oct;14(5):11-5.
The headlines feature tragic stories describing errors in medical practice. Medical literature reveals that errors in medical practice are common. In 1999, the Institute of Medicine released its report. "To Err is Human," that detailed an estimated 44,000 to 98,000 deaths annually due to medical errors. In September of 2002, the Archives of Internal Medicine released a study of medication errors observed in 36 healthcare facilities. Medication errors were commonly occurring in 19% or nearly one error out of every five doses administered in a typical hospital. It is imperative to analyze patient safety issues related to medication administration. This paper presents methods to improve the quality of care delivered by: Building effective structures through efficient use of technology. Establishing improved process through collaboration and team-work. Measuring and reporting performance outcomes. Using Performance improvement Strategies to Reduce and Prevent Medication Errors.
新闻头条充斥着描述医疗失误的悲剧故事。医学文献表明，医疗失误很常见。1999年，医学研究所发布了其报告《人皆有过》，该报告详细指出，每年估计有44000至98000人因医疗失误死亡。2002年9月，《内科学文献》发表了一项对36家医疗机构中观察到的用药失误的研究。用药失误普遍存在，在典型医院中，每五剂用药中就有19%出现失误，即几乎每五剂就有一剂出错。分析与用药管理相关的患者安全问题势在必行。本文介绍了通过以下方式提高护理质量的方法：通过有效利用技术建立有效的架构；通过协作和团队合作建立改进的流程；衡量和报告绩效结果；使用绩效改进策略来减少和预防用药失误。
