Mathews Simon C, Sutcliffe Kathleen M, Garrett Margaret R, Pronovost Peter J, Paine Lori
Johns Hopkins University School of Medicine, Baltimore, MD.
Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, Baltimore, MD.
J Healthc Risk Manag. 2018 Jul;38(1):38-46. doi: 10.1002/jhrm.21317. Epub 2018 Apr 6.
The importance of patient safety has grown tremendously; however, there are insufficient resources dedicated to its practical application. We provide an overview of the framework for addressing patient safety within the Johns Hopkins Health System, which approaches patient safety in the context of risk at the patient, provider, unit, and system levels. We present practical examples of how this approach is applied and highlight the resources needed as well as describe how it fits within the broader quality management infrastructure in the health system on its journey toward high reliability.
患者安全的重要性已大幅提升；然而，用于其实际应用的资源却不足。我们概述了约翰霍普金斯医疗系统中解决患者安全问题的框架，该框架在患者、医护人员、科室和系统层面的风险背景下处理患者安全问题。我们给出了这种方法如何应用的实际例子，强调所需资源，并描述它如何融入医疗系统朝着高可靠性发展的更广泛质量管理体系之中。
