Smetzer Judy L
Institute for Safe Medication Practices, Huntingdon Valley, Pennsylvania, USA.
Jt Comm J Qual Patient Saf. 2005 May;31(5):294-9, 241. doi: 10.1016/s1553-7250(05)31037-3.
All to often, one of the most deeply seated roots of system problems--an organizational culture with a high tolerance of at-risk behaviors--is overlooked.
很多时候,系统问题最根深蒂固的根源之一——一种对危险行为高度容忍的组织文化——被忽视了。