a University of Washington School of Nursing and University of Washington Medical Center & Northwest Hospital & Medical Center.
Am J Bioeth. 2015;15(4):20-5. doi: 10.1080/15265161.2015.1010998.
Examined as an isolated situation, and through the lens of a rare and feared disease, Mr. Duncan's case seems ripe for second-guessing the physicians and nurses who cared for him. But viewed from the perspective of what we know about errors and team communication, his case is all too common. Nearly 440,000 patient deaths in the U.S. each year may be attributable to medical errors. Breakdowns in communication among health care teams contribute in the majority of these errors. The culture of health care does not seem to foster functional, effective communication between and among professionals. Why? And more importantly, why do we not do something about it?
从孤立的情况来看，通过罕见且可怕的疾病这一视角，邓肯先生的病例似乎为我们质疑照顾他的医生和护士提供了充分的理由。但从我们对错误和团队沟通的了解来看，他的病例又太常见了。美国每年有近 44 万名患者的死亡可能归因于医疗失误。医疗团队之间的沟通失败在这些错误中占大多数。医疗保健文化似乎并没有促进专业人员之间的功能性、有效的沟通。为什么？更重要的是，我们为什么不对此采取措施？
