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[医疗机构中“有益错误”的文化:发病率和死亡率会议(MMCs)的影响]

[The culture of "useful error" in health care establishments: impact of morbidity and mortality conferences (MMCs)].

作者信息

Ksouri Hatem, Ksouri Amira Bahri, Ribordy Vincent, Sridharan Govind, Hayoz Daniel

机构信息

Service des Soins Intensifs et Continus, HFR Fribourg, Hôpital Cantonal.

出版信息

Rev Med Suisse. 2010 Nov 17;6(271):2190-2, 2194.

Abstract

Since the publication of the Institute of Medicine's report, "To Err is Human", in 1999, patient safety has become an economic and political objective. The notion of safety involves willingness and initiation of measures to reduce or eliminate errors leading to preventable adverse events. Morbidity and mortality conferences are useful tool to improve local care management through the discussion of adverse events and medical errors and the conception of alternative approaches. In addition, MMCs have an educational value for the entire medical and nursing staff. The involvement of the head of the department is crucial to achieve a cultural change within the caregivers by developing the concept of "useful error" during MMCs.

摘要

自1999年医学研究所发布《人皆会犯错》报告以来,患者安全已成为一项经济和政治目标。安全概念涉及采取措施的意愿和行动,以减少或消除导致可预防不良事件的错误。发病率和死亡率会议是通过讨论不良事件和医疗错误以及构思替代方法来改善当地护理管理的有用工具。此外,发病率和死亡率会议对全体医护人员具有教育价值。部门负责人的参与对于通过在发病率和死亡率会议期间形成“有用错误”的概念来实现护理人员内部的文化变革至关重要。

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