Elston Dirk M, Taylor James S, Coldiron Brett, Hood Antoinette F, Read Sandra I, Resneck Jack S, Kirsner Robert S, Maize John C, Sullivan Sabra, Laskas John, Hanke C William
Departments of Dermatology and Pathology, Geisinger Medical Center, 100 N Academy Ave, Danville, PA 17822-1406, USA.
J Am Acad Dermatol. 2009 Aug;61(2):179-90; quiz 191. doi: 10.1016/j.jaad.2009.04.056.
Congress is grappling with ways to fund health care in the future. Much of the focus rests on paying physicians for their patients' outcomes, rather than the current system of payment for services provided during each visit. The years ahead will be years of change for American health care, with an increasing emphasis on the comparison of patient outcomes and measures of quality. Patient safety initiatives will be an integral part of the overall strategy to improve American health care. Part one of this two-part series on patient safety examines what we know about patient safety in dermatology, including data from medicolegal claims and published data on patient safety in the setting of office-based surgery. The article also focuses on how medical societies, payers, the US government, and the Board of Medical Specialties are responding to calls for accountability and improvements in patient safety.
After completing this learning activity, participants should be able to identify risks to patient safety based on an understanding of the major causes of legal claims against dermatologists, use published patient safety data to improve the practice of office surgery, and be able to improve patient safety through an understanding of requirements for maintenance of certification.
国会正在努力寻求未来医疗保健的资金筹集方式。目前的重点大多在于根据医生治疗患者的结果支付报酬,而非现行的每次就诊服务付费体系。未来几年将是美国医疗保健发生变革的时期,会越来越强调患者治疗结果的比较和质量衡量。患者安全举措将成为改善美国医疗保健整体战略的一个组成部分。这个关于患者安全的系列文章分两部分,第一部分探讨我们对皮肤科患者安全的了解,包括来自医疗法律索赔的数据以及关于门诊手术环境下患者安全的已发表数据。本文还重点关注医学协会、医保支付方、美国政府以及医学专业委员会如何回应提高患者安全问责制和改进措施的呼声。
完成本学习活动后,参与者应能够基于对皮肤科医生法律索赔主要原因的理解识别患者安全风险,利用已发表的患者安全数据改进门诊手术实践,并通过理解维持认证的要求来提高患者安全。