Cao Lauren Y, Taylor James S, Vidimos Allison
Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
Dermatol Online J. 2010 Jan 15;16(1):3.
We performed a literature review of patient safety topics pertinent to dermatology and related to outpatient settings for situations in which data from dermatology are lacking.
Searches in MEDLINE via PubMed interface, OVID and Google Scholar were carried out from October, 2008 through May, 2009 for English-language articles published between 1948 and 2009. Each search combined 2 or 3 of the following terms: patient safety, medical error, human error, preventable adverse event, dermatology, outpatient, ambulatory care, medication error, diagnostic error, laboratory error, pathology error, office-based surgery, wrong-site procedure, infections, falls, laser safety, scope of practice. Personal communications, websites, books, dermatology newsletters and major textbooks were also scrutinized. Potentially relevant articles and communications were critically evaluated by the authors. References from these articles were searched for "other relevant articles."
Patient safety studies in dermatology and outpatient settings are lagging behind those in inpatient settings. Systems changes are needed to reduce medical errors rather than penalize individual healthcare workers. Although technology may improve patient safety in numerous aspects, it introduces new sources of errors.
Our review reveals few studies on dermatologic patient safety, supporting the pressing need for such studies and reports in the future.
对于皮肤科缺乏相关数据的门诊环境中的情况，我们针对与皮肤科相关的患者安全主题进行了文献综述。
通过PubMed界面、OVID和谷歌学术在MEDLINE中进行检索，检索时间为2008年10月至2009年5月，检索1948年至2009年发表的英文文章。每次检索结合以下2至3个术语：患者安全、医疗差错、人为差错、可预防的不良事件、皮肤科、门诊、门诊护理、用药差错、诊断差错、实验室差错、病理差错、门诊手术、手术部位错误、感染、跌倒、激光安全、执业范围。还对个人通信、网站、书籍、皮肤科通讯和主要教科书进行了审查。作者对潜在相关的文章和通信进行了严格评估。对这些文章的参考文献搜索“其他相关文章”。
皮肤科和门诊环境中的患者安全研究落后于住院环境中的研究。需要进行系统变革以减少医疗差错，而不是惩罚个体医护人员。尽管技术可能在许多方面提高患者安全，但它也引入了新的差错来源。
我们的综述显示关于皮肤科患者安全的研究很少，这支持了未来对此类研究和报告的迫切需求。
