MedStar Institute for Quality and Safety, MedStar Health, Columbia, MD, USA.
Department of Medical Education, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Int J Health Policy Manag. 2018 Jul 1;7(7):671-673. doi: 10.15171/ijhpm.2018.24.
In their editorial, Mannion and Braithwaite contend that the approach to solving the problem of unsafe care, Safety I, is flawed and requires a shift in thinking to what they are calling Safety II. We have reservations as to whether by itself the shift from Safety I to Safety II is sufficient. Perhaps our failure to improve outcomes in the field of patient safety and quality lies less in our approach - Safety I vs. Safety II - and more in the lack of an agreed upon, commonly understood set of core competencies (knowledge, skills, and attitudes) needed in its workforce. The authors explore in this commentary the need to establish core competencies as part of the pathway to professionalism for the discipline of patient safety and quality.
曼尼恩和布雷思韦特在社论中认为，解决不安全护理问题的方法（安全 I）存在缺陷，需要转变思维，转向他们所谓的安全 II。我们对仅仅从安全 I 转变到安全 II 是否足够持保留态度。也许我们在患者安全和质量领域未能改善结果的原因不在于我们的方法（安全 I 与安全 II），而更多在于缺乏一套商定的、普遍理解的核心能力（知识、技能和态度），而这些能力是其劳动力所必需的。作者在这篇评论中探讨了在建立核心能力作为患者安全和质量学科专业发展途径的一部分的必要性。
