利用模拟优化系统。
Using Simulation to Improve Systems.
作者信息
Kearney James A, Deutsch Ellen S
机构信息
Pennsylvania Hospital, University of Pennsylvania Health System, Perelman School of Medicine at the University of Pennsylvania, 800 Walnut Street, 18th Floor, Philadelphia, PA 19107, USA.
Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; Pennsylvania Patient Safety Authority, Harrisburg, PA, USA; ECRI Institute, 5200 Butler Pike, Plymouth Meeting, PA 19462, USA.
出版信息
Otolaryngol Clin North Am. 2017 Oct;50(5):1015-1028. doi: 10.1016/j.otc.2017.05.011. Epub 2017 Jul 8.
Attempts to understand and improve health care delivery often focus on the characteristics of the patient and the characteristics of the health care providers, but larger systems surround and integrate with patients and providers. Components of health care delivery systems can support or interfere with efforts to provide optimal health care. Simulation in situ, involving real teams participating in simulations in real care settings, can be used to identify latent safety threats and improve the work environment while simultaneously supporting participant learning. Thoughtful planning and skilled debriefing are essential.
理解并改善医疗服务的努力往往聚焦于患者的特征和医疗服务提供者的特征，但更大的系统围绕着患者和提供者并与之整合。医疗服务系统的组成部分可能会支持或干扰提供最佳医疗服务的努力。现场模拟，即让真实团队在真实的护理环境中参与模拟，可以用来识别潜在的安全威胁、改善工作环境，同时支持参与者的学习。精心规划和专业的总结汇报至关重要。
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