Robertson Nic
Newcastle University, Newcastle, UK.
Clin Teach. 2012 Feb;9(1):41-4. doi: 10.1111/j.1743-498X.2011.00485.x.
How to improve patient safety remains an intractable problem, despite large investment and some successes.
Academics have argued that the root of the problem is a lack of a comprehensive 'safety culture' in hospitals. Other safety-critical industries such as commercial aviation invest heavily in staff training to develop such a culture, but comparable programmes are almost entirely absent from the health care sector.
In rock climbing and many other dangerous activities, the 'buddy system' is used to ensure that safety systems are adhered to despite adverse circumstances. This system involves two or more people using simple checks and clear communication to prevent problems causing harm. Using this system as an example could provide a simple, original and entertaining way of introducing medical students to the idea that human factors are central to ensuring patient safety.
Teaching the buddy system may improve understanding and acceptance of other patient safety initiatives, and could also be used by junior doctors as a tool to improve the safety of their practice.
尽管投入巨大且取得了一些成功，但如何提高患者安全仍是一个棘手的问题。
学者们认为问题的根源在于医院缺乏全面的“安全文化”。其他对安全要求极高的行业，如商业航空，在员工培训方面投入巨大以培养这种文化，但医疗保健领域几乎完全没有类似的项目。
在攀岩和许多其他危险活动中，“伙伴制度”被用于确保在不利情况下安全制度仍能得到遵守。该制度涉及两个或更多的人通过简单的检查和清晰的沟通来防止问题造成伤害。以这个制度为例，可以提供一种简单、新颖且有趣的方式，向医学生介绍人为因素对于确保患者安全至关重要这一理念。
教授伙伴制度可能会增进对其他患者安全举措的理解和接受，初级医生也可以将其作为提高自身医疗实践安全性的工具。
