Woodhouse Sherry, Burney Brenda, Coste Kathleen
Cleveland Clinic Florida, Weston, Florida, USA.
Clin Leadersh Manag Rev. 2004 Jan-Feb;18(1):32-6.
Patient care errors occur in the laboratory. Traditionally, most errors have been thought to occur because of individual human failure. The assumption is that with adequate training, education; and orientation, technologists will perform flawlessly. Laboratory processes are designed on the premise that nothing will go wrong. Health-care professionals are looking at new methods of error prevention including Failure Mode and Effect Analysis (FMEA). Based on long experience in the engineering field, FMEA assumes everything will fail, humans err frequently, and the cause of an error often is beyond the individual's control. FMEA is a proactive, systematic, multidisciplinary team-based approach to error prevention. Patient safety is now a high priority with the Joint Commission on Accreditation of Healthcare Organizations, and this article introduces FMEA, a new method for improving our processes to enhance patient safety.
实验室中会出现患者护理失误。传统上，大多数失误被认为是由于个人人为失误造成的。人们假定，通过充分的培训、教育和入职培训，技术人员将完美地完成工作。实验室流程的设计前提是不会出差错。医疗保健专业人员正在研究包括失效模式与效应分析（FMEA）在内的新的差错预防方法。基于在工程领域的长期经验，FMEA假定一切都会失败，人类经常犯错，而且差错的原因往往超出个人控制范围。FMEA是一种积极主动、系统的、基于多学科团队的差错预防方法。患者安全现在是医疗保健机构认证联合委员会的高度优先事项，本文介绍了FMEA，这是一种改进我们的流程以提高患者安全的新方法。
