Ascension Health, St. Louis, Missouri, USA.
Health Aff (Millwood). 2011 Apr;30(4):604-11. doi: 10.1377/hlthaff.2010.1276.
A decade ago the Institute of Medicine estimated that 44,000-98,000 preventable deaths occur each year in US hospitals. The leaders of Ascension Health-one of the nation's largest health care delivery networks, with sixty-nine hospitals in twenty states and the District of Columbia-dedicated themselves to preventing equivalent numbers of deaths in their system. In 2003 they set a goal of reducing preventable deaths by 900 each year by 2008. By fiscal year 2010 Ascension Health had reduced preventable deaths by more than 1,500 people annually and, by some calculations, by more than 5,000 people annually, compared to 2004. Ascension Health had also achieved important improvements in preventing birth trauma and reducing rates of pressure ulcers and hospital-acquired infections. The health care system could achieve even greater results by adopting the safety principles used in high-reliability entities such as the nuclear power industry. The adoption of such principles can lead to impressive improvements in health care quality.
十年前，美国医学研究所估计，美国医院每年有 44,000 至 98,000 例可预防的死亡事件。Ascension Health 的领导层——这是美国最大的医疗服务网络之一，在 20 个州和哥伦比亚特区拥有 69 家医院——致力于在其系统中预防同等数量的死亡事件。他们在 2003 年设定了一个目标，即在 2008 年前每年减少 900 例可预防的死亡。到 2010 财年，Ascension Health 每年可预防的死亡人数减少了 1500 多人，而根据一些计算，与 2004 年相比，每年可预防的死亡人数超过了 5000 人。该医疗保健系统还在预防分娩创伤和降低压疮及医院获得性感染的发生率方面取得了重要进展。通过采用核工业等高可靠性实体使用的安全原则，医疗保健系统可以取得更显著的成效。这些原则的采用可以显著提高医疗保健质量。
