Prescrire Int. 2010 Oct;19(109):230-4.
The realisation that an error has been committed, and the courage to discuss it openly, opens the way to a constructive process to improve one's professional practices, in interaction with healthcare organisations. Reporting errors to adverse events programmes is influenced by the impact of errors on healthcare professionals and their fears about the outcome and disclosure.The low rate of spontaneous reporting results from the obstacles encountered by healthcare professionals and reflects their attitudes towards their own errors. The way in which individuals make errors and handle adverse events reveals a lot about their personality and how they view themselves as professionals. It is not easy to report errors and it depends on the individuals concerned. Healthcare professionals' "reflexivity" (their ability to reflect on their own actions) is an integral part of their professional skills; it is an essential resource for analysing errors and improving quality of care. Reporting an error to a programme such as Prescrire's Preventing the Preventable is a conscious, professional act. It is both lucid and responsible, and part of a commitment to improving professional practice and skills, at the individual and institutional level. Learning from errors in order to prevent them from happening again supports the development of a quality and safety culture that should be encouraged among healthcare professionals.
意识到已经犯了错误，并勇于公开讨论它，为与医疗保健组织互动时改进个人专业实践的建设性过程开辟了道路。向不良事件报告程序报告错误受到错误对医疗保健专业人员的影响以及他们对结果和披露的恐惧的影响。自发报告率低是医疗保健专业人员遇到的障碍导致的，反映了他们对自己错误的态度。个人犯错和处理不良事件的方式揭示了很多关于他们的个性以及他们如何看待自己作为专业人员的情况。报告错误并不容易，这取决于相关个人。医疗保健专业人员的“反思能力”（他们反思自己行为的能力）是其专业技能的一个组成部分；它是分析错误和提高护理质量的重要资源。向诸如《处方》杂志的“预防可预防之事”这样的项目报告错误是一种有意识的专业行为。它既清醒又负责，是在个人和机构层面致力于改进专业实践和技能的一部分。从错误中吸取教训以防止它们再次发生，有助于培养一种质量和安全文化，这种文化应该在医疗保健专业人员中得到鼓励。
