von Plessen Christian, Gäre Boel Andersson
Lunge- og infektionsmedicinsk Afdeling, Hillerød Hospital, Dyrehavevej 29, Hillerød.
Ugeskr Laeger. 2012 Nov 5;174(45):2780-4.
Patients, health-care professionals and the public expect safe health care. The system, however, is not safe and patients are being harmed. Workplace and organizational conditions and human factors contribute to these harms and a system approach is needed to avoid them. In clinical microsystems (CMS), the frontline units of health care, staff and patients can make care safer by learning about their system, its processes, members and purposes. Approaches from patient safety should be integrated in the daily work of every member of the CMS to reduce risk, implement safe practices and learn from errors. We summarize methods for use in CMS and offer ideas for fostering a proactive culture of patient safety.
患者、医疗保健专业人员和公众都期望获得安全的医疗保健。然而，该系统并不安全，患者正在受到伤害。工作场所、组织条件和人为因素导致了这些伤害，因此需要采用系统方法来避免这些伤害。在临床微系统（CMS）中，即医疗保健的一线单位，工作人员和患者可以通过了解其系统、流程、成员和目的来提高医疗安全性。患者安全的方法应融入CMS每位成员的日常工作中，以降低风险、实施安全措施并从错误中吸取教训。我们总结了在CMS中使用的方法，并提出了培养积极主动的患者安全文化的思路。
