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[重症监护病房中的差错发生与预防]

[Occurrence and prevention of errors in intensive care units].

作者信息

Valentin A

机构信息

Krankenanstalt Rudolfstiftung, Juchgasse 25, 1030, Wien, Österreich.

出版信息

Med Klin Intensivmed Notfmed. 2012 May;107(4):244-8. doi: 10.1007/s00063-011-0059-9. Epub 2012 Apr 6.

Abstract

Recognition and analysis of error constitutes an essential tool for quality improvement in intensive care units (ICUs). The potential for the occurrence of error is considerably high in ICUs. Although errors will never be completely preventable, it is necessary to reduce frequency and consequences of error. A system approach needs to consider human limitations and to design working conditions, workplace, and processes in ICUs in a way that promotes reduction of error. The development of a preventive safety culture must be seen as an essential task for ICUs.

摘要

识别和分析差错是重症监护病房(ICU)质量改进的重要工具。ICU中发生差错的可能性相当高。虽然差错永远无法完全预防,但有必要减少差错的发生频率和后果。系统方法需要考虑人类的局限性,并以促进减少差错的方式设计ICU的工作条件、工作场所和流程。必须将发展预防性安全文化视为ICU的一项重要任务。

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