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未遂事件报告。

Near Miss Reporting.

作者信息

Jones Janine M, Newman Michael F

出版信息

Radiol Manage. 2014 Nov;36(6):35-38.

Abstract

Imaging is no stranger to patient safety events. There was a tremendous opportunity at WakeMed in North Carolina to change the safety culture of the imag- ing services department and provide staff with a system that rewarded them for identifying safety risks. Most staff could articulate the difference between a near miss and an actual event, but very few staff knew how to report a near miss. Staff who did know how to report a near miss believed the online process was too lengthy. Staff also reported a fear of punitive action associated with reporting events. Imaging services leadership successfully developed and implemented a "Good Catch" program. One of the most important objectives of the program was to remove the negative stigma associated with near miss reporting.

摘要

影像部门对患者安全事件并不陌生。北卡罗来纳州韦克医学中心有一个绝佳的机会来改变影像服务部门的安全文化,并为员工提供一个因识别安全风险而给予奖励的系统。大多数员工能够清晰地说出未遂事件和实际事件之间的区别,但很少有员工知道如何报告未遂事件。知道如何报告未遂事件的员工认为在线流程太长。员工们还表示担心报告事件会带来惩罚性行动。影像服务部门的领导层成功制定并实施了一项“及时发现(Good Catch)”计划。该计划最重要的目标之一是消除与未遂事件报告相关的负面污名。

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