Leonard Michael S
Departments of Pediatrics and Public Health Sciences, Golisano Children's Hospital, University of Rochester Medical Center, Rochester, NY.
Pediatr Rev. 2015 Oct;36(10):448-56; quiz 457-8. doi: 10.1542/pir.36-10-448.
Most medical errors and preventable adverse events represent failures of complex systems. Pediatric clinicians must ensure a safe environment for health-care delivery to children. To do so, they must recognize risk factors for errors and adverse events; ensure effective communication with patients, parents, and colleagues; heighten situation awareness; develop high-functioning, high-reliability teams; implement and employ technology carefully; and provide integrated, ongoing education to trainees.
大多数医疗差错和可预防的不良事件都是复杂系统故障所致。儿科临床医生必须确保为儿童提供医疗服务的安全环境。为此，他们必须识别差错和不良事件的风险因素；确保与患者、家长及同事进行有效沟通；提高态势感知能力；组建高效、高可靠性的团队；谨慎实施和应用技术；并为实习生提供持续的综合教育。
