Zipper Stephan G
Katharina-Kasper-Kliniken gGmbH, Frankfurt am Main, Gutachter- und Schlichtungsstelle bei der Landesärztekammer Hessen, Frankfurt am Main.
Med Klin (Munich). 2006 Oct 15;101(10):796-803. doi: 10.1007/s00063-006-1107-8.
An error-control management (management of technical errors) is well established, tested and approved in sectors of high risk, such as aviation and nuclear industry. Although medical science likewise represents a sector of high risk, a similar region-wide control management is still missing. The reasons are multifaceted: by implementation of an error-control management, the negotiation of psychological obstacles and the investment of financial resources have to be faced. The profit from overcoming these obstacles is gained only in the long term. The intention of this survey is to give an overview of the current state of knowledge of errors in medical science as well as to give an introduction (adoption) of the basic principles of systemic error description, detection and prevention by evaluating the available studies.
错误控制管理(技术错误管理)在航空和核工业等高风险领域已得到充分确立、测试和批准。尽管医学同样属于高风险领域,但类似的全区域控制管理仍然缺失。原因是多方面的:实施错误控制管理必须面对心理障碍的克服和财政资源的投入。克服这些障碍所带来的收益只能在长期内实现。本次调查的目的是概述医学领域错误的当前知识状况,并通过评估现有研究介绍(采用)系统错误描述、检测和预防的基本原则。