New York Methodist Hospital and the Department of Obstetrics and Gynecology, Weill Cornell Medical College, New York, New York, USA.
Obstet Gynecol. 2012 Aug;120(2 Pt 1):355-9. doi: 10.1097/AOG.0b013e318260957c.
The recent focus on health care safety is a response to the central ethical tenet of medicine--to do no harm. The delivery of safe hospital care has led to demonstrable reductions in medical errors, adverse events, and patient injuries. These improvements have led to a commensurate reduction of legal risk and the emotional toll on caregivers as well as families. It also has reinvigorated the reason many physicians went into medicine--to make a difference for women's health. The new, voluntary Safety Certification in Outpatient Practice Excellence (SCOPE) for Women's Health program of the American Congress of Obstetricians and Gynecologists is a means to both evaluate and recognize work in a critical but often neglected arena--the outpatient setting. It builds on infrastructure created for safety programs in hospital settings. Strong physician leadership, the development of an office culture committed to safety, communication and teamwork skills, safety programs for office-based surgery, medication safety, and tracking systems are all important for safe treatment of our patients in the office setting. The SCOPE Program defines the necessary safety goals for ambulatory women's health care and provides an educational pathway to reach those goals. SCOPE certification is an achievement recognizing the commitment of physicians and their staff to the health and safety of their patients.
近期对医疗保健安全的关注是对医学核心伦理原则的回应——不造成伤害。提供安全的医院护理已导致医疗错误、不良事件和患者伤害的明显减少。这些改进导致法律风险和护理人员以及家庭的情绪负担相应减少。它也重新激发了许多医生选择从医的原因——为妇女健康做出改变。美国妇产科医师大会（ACOG）新的、自愿的《门诊实践卓越安全认证》（SCOPE）是评估和认可关键但经常被忽视的领域——门诊环境的工作的一种手段。它建立在为医院环境中的安全计划创建的基础设施之上。强有力的医生领导、致力于安全的办公室文化的发展、针对办公室手术、药物安全和跟踪系统的沟通和团队合作技能安全计划，对于在办公室环境中安全治疗我们的患者都非常重要。SCOPE 计划定义了为女性提供门诊保健的必要安全目标，并提供了实现这些目标的教育途径。SCOPE 认证是对医生及其工作人员对患者健康和安全承诺的认可。
