Rivera A Joy, Karsh Ben-Tzion
Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, WI 53706, USA.
Int J Radiat Oncol Biol Phys. 2008;71(1 Suppl):S174-7. doi: 10.1016/j.ijrobp.2007.06.088.
The traditional approach to solving patient safety problems in healthcare is to blame the last person to touch the patient. But since the publication of To Err is Human, the call has been instead to use human factors and systems engineering methods and principles to solve patient safety problems. However, an understanding of the human factors and systems engineering is lacking, and confusion remains about what it means to apply their principles. This paper provides a primer on them and their applications to patient safety.
医疗保健领域解决患者安全问题的传统方法是责怪最后接触患者的人。但自《人非圣贤,孰能无过》出版以来,人们转而呼吁使用人因学和系统工程方法及原则来解决患者安全问题。然而,目前缺乏对人因学和系统工程的理解,对于应用其原则的意义也仍存在困惑。本文提供了关于它们及其在患者安全方面应用的入门知识。