Hoppes Michelle, Mitchell Jacque L, Venditti Ellen Grady, Bunting Robert F
Global Risk Management and Loss Control.
J Healthc Risk Manag. 2013;32(3):27-45. doi: 10.1002/jhrm.21098.
To advance the goal of Getting to Zero and eliminating preventable harm, ASHRM is providing guidance for defining, investigating, and measuring serious safety events. The first step in this process is the recommendation for a common and standardized definition. A common definition for a serious safety event facilitates timely detection, rapid action, and future prevention. This paper outlines that definition, provides a skill-based model for investigation, and explains a clear plan for how to conduct the investigation. A measurement system is described to determine the frequency of SSEs and comparison methods to determine events prevented, potential lives saved, and methods to demonstrate financial loss control. These methods and approach are consistent with ASHRM's core values and mission, which is safe and trusted healthcare.
为推进“零伤害”目标并消除可预防的伤害，美国医疗风险管理学会（ASHRM）正在为定义、调查和衡量严重安全事件提供指导。这一过程的第一步是推荐一个通用且标准化的定义。严重安全事件的通用定义有助于及时发现、迅速采取行动以及未来预防。本文概述了该定义，提供了基于技能的调查模型，并解释了如何进行调查的清晰计划。还描述了一个测量系统，以确定严重安全事件的发生频率，以及用于确定预防的事件、可能挽救的生命和证明财务损失控制的比较方法。这些方法和途径与ASHRM的核心价值观和使命一致，即安全且值得信赖的医疗保健。
