Milligan Frank J
Faculty of Health Sciences, University of Luton, Britannia Road, Bedford MK42 9DJ, United Kingdom.
Nurse Educ Today. 2007 Feb;27(2):95-102. doi: 10.1016/j.nedt.2006.03.003. Epub 2006 May 19.
This paper argues that the process of making significant moves towards a patient safety culture requires changes in healthcare education. Improvements in patient safety are a shared international priority as too many errors and other forms of unnecessary harm are currently occurring in the process of caring for and treating patients. A description of the patient safety agenda is given followed by a brief analysis of human factors theory and its use in other safety critical industries, most notably aviation. The all too common problem of drug administration errors is used to illustrate the relevance of human factors theory to healthcare education with specific mention made of the Human Factors Analysis and Classification System (HFACS).
本文认为,朝着患者安全文化迈出重大步伐的过程需要医疗保健教育做出改变。改善患者安全是一项国际共同优先事项,因为目前在护理和治疗患者的过程中发生了太多错误及其他形式的不必要伤害。文中首先介绍了患者安全议程,接着简要分析了人为因素理论及其在其他对安全要求极高的行业(最显著的是航空业)中的应用。用药错误这一极为常见的问题被用来阐明人为因素理论与医疗保健教育的相关性,并特别提及了人为因素分析与分类系统(HFACS)。