Department of Medicine, University of California,San Francisco, California, USA.
Health Aff (Millwood). 2010 Jan-Feb;29(1):165-73. doi: 10.1377/hlthaff.2009.0785. Epub 2009 Dec 1.
December 1, 2009, marks the tenth anniversary of the Institute of Medicine report on medical errors, To Err Is Human, which arguably launched the modern patient-safety movement. Over the past decade, a variety of pressures (such as more robust accreditation standards and increasing error-reporting requirements) have created a stronger business case for hospitals to focus on patient safety. Relatively few health care systems have fully implemented information technology, and we are finally grappling with balancing "no blame" and accountability. The research pipeline is maturing, but funding remains inadequate. Our limited ability to measure progress in safety is a substantial impediment. Overall, I give our safety efforts a grade of B-, a modest improvement since 2004.
2009 年 12 月 1 日，是医学研究所关于医疗错误的报告《人非圣贤，孰能无过》发表十周年纪念日，该报告可以说是现代患者安全运动的开端。在过去的十年中，各种压力（如更严格的认证标准和不断增加的错误报告要求）为医院专注于患者安全创造了更强有力的商业案例。相对较少的医疗保健系统已全面实施信息技术，我们终于在努力平衡“无责”和问责制。研究渠道正在成熟，但资金仍然不足。我们衡量安全进展的能力有限，这是一个重大障碍。总的来说，我的安全工作得分为 B-，自 2004 年以来略有提高。
