Graves K
Department of Cardiac Surgery, City Hospital Triemli Zürich, Birmensdorferstrasse 487, 8063 Zürich, Switzerland.
Perfusion. 2005 Jul;20(4):209-15. doi: 10.1191/0267659105pf809oa.
There is a renewed effort in Europe to develop strategies for improving patient safety in hospital care. Nevertheless, traditional hierarchical structures, methods of teaching, and the established tendency to focus on human error rather than organisational causes in medical accidents prohibit effective problem analysis and subsequent learning from our mistakes. Changing the work environment in order to enhance safety in cardiovascular perfusion services requires new efforts in individual clinics, in national perfusion societies, and on a European level. What tools do we have at hand in our profession to alter these influences and to improve perfusion safety? How can national perfusion societies in Europe enhance improvements which extend outside national boundaries?
欧洲正在重新努力制定提高医院护理患者安全的策略。然而，传统的层级结构、教学方法以及在医疗事故中倾向于关注人为错误而非组织原因的既定趋势，阻碍了有效的问题分析以及随后从我们的错误中吸取教训。为了提高心血管灌注服务的安全性而改变工作环境，需要各个诊所、国家灌注学会以及在欧洲层面做出新的努力。在我们这个行业中，我们手头有哪些工具来改变这些影响并提高灌注安全性？欧洲的国家灌注学会如何加强超越国界的改进？
