Kram Rainer
Department of Anaesthesiology, Heinrich Heine University, Düsseldorf, Germany.
Curr Opin Anaesthesiol. 2008 Apr;21(2):240-4. doi: 10.1097/ACO.0b013e3282f60d82.
This review summarizes the knowledge of error and of critical incident reporting systems in general and especially in emergency medicine.
Medicine is a high-risk area and emergency medicine in particular needs consequent use of critical incident reporting systems. We need a safety culture to learn from our mistakes and we need to discuss all mistakes regardless of hierarchical structures in medicine.
The first step in avoiding fatalities in emergency medicine is to accept that errors do occur. The next question is how to prevent errors in medicine and not to search for personal mistakes. We need a culture of error and not a culture of blame. Critical incidents occur in all ranges of medical hierarchical structures. We have to accept the presence of mistakes and we need to recognize them every day to protect our patients.
本综述总结了关于错误以及一般意义上尤其是急诊医学中危急事件报告系统的知识。
医学是一个高风险领域，尤其是急诊医学特别需要持续使用危急事件报告系统。我们需要一种安全文化来从错误中吸取教训，并且需要不论医学中的层级结构，讨论所有错误。
在急诊医学中避免死亡的第一步是承认错误确实会发生。接下来的问题是如何预防医学中的错误，而不是去追究个人错误。我们需要一种错误文化，而不是指责文化。危急事件发生在医学层级结构的各个层面。我们必须接受错误的存在，并且每天都要认识到它们，以保护我们的患者。
