Cawley Patrick J, Scheurer Danielle B
Patrick J. Cawley, MD, FACHE, is vice president for health affairs at the Medical University of South Carolina (MUSC) and CEO of MUSC Health in Charleston. Danielle B. Scheurer, MD, is chief quality officer of MUSC Health and a practicing hospitalist.
Front Health Serv Manage. 2017;33(4):3-15. doi: 10.1097/HAP.0000000000000008.
Healthcare has enthusiastically embraced quality and safety improvement. Yet, more radical transformation is clearly needed to make a more significant impact on error reduction and to ensure consistent quality. This need for transformation is leading healthcare to examine how other industries, such as nuclear power and aviation, improve safety to achieve a high degree of reliability and avoid potential catastrophes. Research has shown that successful organizations in high-risk industries achieve high reliability by maintaining a cultural mindfulness that allows them to continually reinvent themselves in complex environments. Healthcare faces similar challenges and could greatly benefit from instilling high-reliability principles in its operations. The Medical University of South Carolina, an academic health system, has been on a quest to improve safety and quality by implementing a high-reliability culture.
医疗保健行业积极投身于质量与安全改进工作。然而，显然需要进行更彻底的变革，以便在减少差错方面产生更大影响，并确保质量的一致性。这种变革需求促使医疗保健行业审视其他行业，如核电和航空业，是如何提高安全性以实现高度可靠性并避免潜在灾难的。研究表明，高风险行业中的成功组织通过保持一种文化警觉性来实现高可靠性，这种警觉性使它们能够在复杂环境中不断自我革新。医疗保健行业面临类似挑战，在其运营中灌输高可靠性原则将受益匪浅。南卡罗来纳医科大学作为一个学术健康系统，一直在寻求通过实施高可靠性文化来提高安全性和质量。
