Vemula Radhika, Robyn Assaf R, Al-Assaf A F
Oklahoma City University School of Law, OK, USA.
J Healthc Qual. 2007 Jul-Aug;29(4):6-10. doi: 10.1111/j.1945-1474.2007.tb00199.x.
Potential reasons for failure to report medical errors include concerns about adverse publicity, fear of litigation and professional sanctions, the burden of reporting, uncertainty about what information is required to be reported, and lack of feedback. The Patient Safety Quality and Improvement Act of 2005 (PSQIA) was passed by the U.S. Congress as a response to these issues. Successful implementation of PSQIA requires changes such as moving toward an incentive-based system or providing continuing education programs for healthcare providers. In addition, the reform of residency programs will help in the implementation of PSQIA by future healthcare providers.
未能报告医疗差错的潜在原因包括担心负面宣传、害怕诉讼和职业制裁、报告负担、不确定需要报告哪些信息以及缺乏反馈。美国国会通过了2005年《患者安全质量与改进法案》（PSQIA）以应对这些问题。成功实施PSQIA需要进行一些变革，比如转向基于激励的系统或为医疗服务提供者提供继续教育项目。此外，住院医师培训项目的改革将有助于未来的医疗服务提供者实施PSQIA。
