Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Oregon Health & Science University, mail code L466, 3181 SW Sam Jackson Pk Rd, Portland, OR 97239-3098, USA.
Semin Perinatol. 2013 Jun;37(3):161-5. doi: 10.1053/j.semperi.2013.02.007.
The Institute of Medicine's report, To Err is Human, concluded that "medical errors are not a result of isolated individual actions but rather faulty systems, processes, and conditions that lead people to make mistakes." In situ simulation offers the unique opportunity to train the teams of people who deliver healthcare while enhancing policies, evaluating new technologies, and improving the systems that support the delivery of safe healthcare. For this reason, the Institute of Medicine, the Joint Commission, and the Agency for Healthcare Research and Quality recommend medical simulation as one of the most important safe practice interventions to reduce errors and risks associated with the process of care. This review builds on other reports in this issue and discusses the application of in situ simulation to identify, address, and test systems improvements.
美国医学研究所的报告《人都会犯错》得出结论，“医疗差错不是孤立的个人行为的结果，而是导致人们犯错的有缺陷的系统、流程和条件。”现场模拟为培训提供医疗保健的人员团队提供了独特的机会，同时还可以加强政策、评估新技术，并改进支持安全医疗保健的系统。出于这个原因，美国医学研究所、联合委员会和医疗保健研究与质量署建议将医疗模拟作为减少与护理过程相关的错误和风险的最重要的安全实践干预措施之一。本综述建立在本期其他报告的基础上，讨论了现场模拟在识别、解决和测试系统改进方面的应用。
