Kriisa M
Kronan Primary Health Care Center, Sundbyberg, Sweden.
Qual Assur Health Care. 1990;2(3-4):329-34. doi: 10.1093/intqhc/2.3-4.329.
The Swedish system, with the Board of Health and Welfare as supervisor, and Medical Board of Responsibility gives both authorities and patients the opportunity to file reports demanding disciplinary action where an error is perceived to have been committed. A total of 184 primary care complaints, involving 230 staff of which 170 were physicians and 42 nurses, were reviewed. Complaints were made by patients or parents in 73% and by the Board of Health in 14%. Handling took up to 4 years. Erroneous or delayed diagnosis was the cause in 58%, erroneous medication in 11%, rudeness in 14%. Of the 230 staff reported, 23 received warnings and 19 reprimands.
瑞典的体系以卫生与福利委员会为监管机构，医疗责任委员会则给予当局和患者机会，在认为出现失误时提交要求采取纪律处分的报告。总共审查了184起初级保健投诉，涉及230名工作人员，其中170名是医生，42名是护士。73%的投诉由患者或家长提出，14%由卫生委员会提出。处理过程耗时长达4年。错误或延迟诊断占原因的58%，用药错误占11%，态度粗鲁占14%。在被举报的230名工作人员中，23人收到警告，19人受到申斥。
