医疗服务中异常行为的常态化。
The normalization of deviance in healthcare delivery.
作者信息
Banja John
机构信息
Center for Ethics, Emory University, 1531 Dickey Drive, Atlanta, GA 30322 U.S.A,
出版信息
Bus Horiz. 2010;53(2):139. doi: 10.1016/j.bushor.2009.10.006.
Abstract
Many serious medical errors result from violations of recognized standards of practice. Over time, even egregious violations of standards of practice may become "normalized" in healthcare delivery systems. This article describes what leads to this normalization and explains why flagrant practice deviations can persist for years, despite the importance of the standards at issue. This article also provides recommendations to aid healthcare organizations in identifying and managing unsafe practice deviations before they become normalized and pose genuine risks to patient safety, quality care, and employee morale.
摘要
许多严重的医疗差错是由违反公认的执业标准所致。随着时间的推移，即使是对执业标准的严重违反在医疗服务系统中也可能会“常态化”。本文描述了导致这种常态化的原因，并解释了为何公然的执业偏差能够持续数年，尽管所涉标准至关重要。本文还提供了一些建议，以帮助医疗保健机构在不安全的执业偏差常态化并对患者安全、优质护理和员工士气构成真正风险之前识别并加以管理。
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