Johnson Andrew, Clay-Williams Robyn, Lane Paul
Townsville Executive Team, Townsville Hospital and Health Service, Douglas, Qld 4814, Australia. Email:.
Australian Institute of Health Innovation, Macquarie University, Sydney, NSW 2109, Australia.
Aust Health Rev. 2019 Jan;43(6):653-655. doi: 10.1071/AH18050.
In September 2017, the Royal Australasian College of Medical Administrators adopted a new clinical governance framework that recognised healthcare as a complex adaptive system, and embraced the need for resilient thinking and understanding the differences between work-as-imagined by managers and work-as-done at the front line of patient care. Directors of medical services may soon be implementing the framework in health services across Australia. This perspective describes a new conceptual model that underpins the Royal Australasian College of Medical Administrators framework, and characterises the challenges faced by all healthcare professionals when trying to achieve safe care for patients in an environment of variable complexity and unpredictability.
2017年9月，澳大利亚皇家医学管理者学院采用了一个新的临床治理框架，该框架认识到医疗保健是一个复杂的自适应系统，并认可需要具备弹性思维，理解管理者设想的工作与患者护理一线实际开展的工作之间的差异。医疗服务主任可能很快会在澳大利亚各地的卫生服务机构实施该框架。这一观点描述了一个支撑澳大利亚皇家医学管理者学院框架的新的概念模型，并刻画了所有医疗保健专业人员在复杂多变且不可预测的环境中努力为患者提供安全护理时所面临的挑战。
