Al-Assaf Al F, Bumpus Lisa J, Carter Dana, Dixon Stephen B
MPH Degree Program, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Hosp Top. 2003 Summer;81(3):5-12. doi: 10.1080/00185860309598022.
Medical errors cause up to 98,000 people to die annually in the United States. They are the fifth leading cause of death and cost the United States dollar 29 billion annually (Kohn 1999). Medical errors fall into 4 main categories: diagnostic, treatment, preventative, and other. A review of literature reveals several proposed solutions to the medical error problem. One solution is to change the system for reporting medical errors. This would allow for the tracking of errors and provide information on potential problematic areas. A National Center for Patient Safety is proposed, which would set national goals towards medical errors. Another solution is the setting of performance standards among individual entities of healthcare delivery, such as hospitals and clinics. Another solution involves implementing a culture of safety among healthcare organizations. This would put the responsibility of safety on everyone in the organization. A change in education is yet another proposed solution. Informing medical students about errors and how to deal with them will help future physicians prevent such errors. The final solution involves improvements in information technology. These improvements will help track errors, but also will prevent errors. A combination of these solutions will change the focus of the healthcare industry toward safety and will eventually lead to billions in savings, but more importantly, the saving of lives.
在美国,医疗失误每年导致多达98000人死亡。它们是第五大死因,每年给美国造成290亿美元的损失(科恩,1999年)。医疗失误主要分为四类:诊断、治疗、预防和其他。文献综述揭示了针对医疗失误问题的几种提议解决方案。一种解决方案是改变医疗失误报告系统。这将有助于追踪失误,并提供有关潜在问题领域的信息。提议设立一个国家患者安全中心,该中心将为医疗失误设定国家目标。另一种解决方案是在医疗服务的各个实体(如医院和诊所)中设定绩效标准。另一种解决方案是在医疗保健组织中营造一种安全文化。这将把安全责任落实到组织中的每一个人身上。教育方面的变革是另一种提议的解决方案。让医学生了解失误以及如何处理失误将有助于未来的医生预防此类失误。最后的解决方案涉及信息技术的改进。这些改进不仅有助于追踪失误,还能预防失误。这些解决方案的结合将改变医疗行业对安全的关注重点,并最终带来数十亿美元的节省,但更重要的是,拯救生命。