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如何在国民保健制度中促进和支持以患者为中心的开放和透明文化。

How to promote and support a culture of patient-centred openness and transparency in the NHS.

机构信息

IMAPS, Aberystwyth University, Aberystwyth, UK; Emergency Admissions Unit, Dorset County Hospital, Dorchester, UK.

出版信息

Int J Clin Pract. 2013 Oct;67(10):943-6. doi: 10.1111/ijcp.12191.

DOI:10.1111/ijcp.12191
PMID:24073971
Abstract

Low standards in the NHS have been put down to a failure to make patients the focus of care that is also transparent. This paper defines clinical transparency as explaining each decision by pointing to the diagnosis for that decision and justifying each diagnosis with the findings that support it. Such transparency can be put in writing in a summary that not only keeps patients and carers informed and reminded about what should be happening but also all the doctors, nurses and other health professionals looking after the patient in hospitals and in the community. Such transparency not only improves the quality of care but also its efficiency by avoiding costly delays and errors due to poor communication.

摘要

国民保健制度的低标准归咎于未能将患者作为关注焦点,也未能做到护理透明。本文将临床透明定义为通过指出该决策的诊断来解释每个决策,并通过支持该诊断的发现来证明每个诊断的合理性。这种透明度可以以摘要的形式书面记录下来,不仅可以使患者和护理人员了解并记住应该发生的事情,还可以使在医院和社区照顾患者的所有医生、护士和其他卫生专业人员了解情况。这种透明度不仅可以通过避免因沟通不畅而导致的昂贵延误和错误来提高护理质量,还可以提高其效率。

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