1 Pennsylvania Patient Safety Authority, Harrisburg, Pennsylvania, USA.
2 ECRI Institute, Plymouth Meeting, Pennsylvania, USA.
Otolaryngol Head Neck Surg. 2018 Jun;158(6):983-984. doi: 10.1177/0194599818764409. Epub 2018 Mar 13.
Physician psychological wellness is an emergent outcome resulting from dynamic interactions among complex conditions. We may enhance opportunities for physician wellness by applying principles developed to improve another emergent outcome: patient safety. The Safety I approach to patient safety focuses on "what went wrong" and considers humans a liability. Safety II is a powerful complementary approach that focuses on "what went right" and values human creativity. These contrasting perspectives are described in the context of patient safety, but the underlying principles have relevance for physician psychological wellness. We can create conditions that interfere with wellness and conditions that support wellness. We can learn from exploring and reinforcing successes and improving routine processes; together, these approaches may have a greater cumulative positive impact than just addressing problems. In addition to learning from failures, there is much we can learn from success.
医生的心理健康是复杂条件相互作用下产生的一个新兴结果。我们可以通过应用旨在改善另一个新兴结果（患者安全）的原则来增加医生健康的机会。患者安全的安全 I 方法侧重于“出了什么问题”，并将人视为一种负担。安全 II 是一种强大的互补方法，侧重于“什么是正确的”并重视人的创造力。这些对比观点是在患者安全的背景下描述的，但基本原则与医生的心理健康有关。我们可以创造干扰健康的条件和支持健康的条件。我们可以通过探索和加强成功并改进常规流程来学习；这些方法一起可能比仅仅解决问题产生更大的累积积极影响。除了从失败中吸取教训外，我们还可以从成功中学到很多东西。
