Pediatrics. 2019 Feb;143(2). doi: 10.1542/peds.2018-3649. Epub 2019 Jan 22.
Pediatricians render care in an increasingly complex environment, which results in multiple opportunities to cause unintended harm. National awareness of patient safety risks has grown since the National Academy of Medicine (formerly the Institute of Medicine) published its report "To Err Is Human: Building a Safer Health System" in 1999. Patients and society as a whole continue to challenge health care providers to examine their practices and implement safety solutions. The depth and breadth of harm incurred by the practice of medicine is still being defined as reports continue to reveal a variety of avoidable errors, from those that involve specific high-risk medications to those that are more generalizable, such as patient misidentification and diagnostic error. Pediatric health care providers in all practice environments benefit from having a working knowledge of patient safety language. Pediatric providers should serve as advocates for best practices and policies with the goal of attending to risks that are unique to children, identifying and supporting a culture of safety, and leading efforts to eliminate avoidable harm in any setting in which medical care is rendered to children. In this Policy Statement, we provide an update to the 2011 Policy Statement "Principles of Pediatric Patient Safety: Reducing Harm Due to Medical Care."
儿科医生在日益复杂的环境中提供医疗服务，这导致他们有很多机会造成意外伤害。自 1999 年美国国家科学院医学研究所（前身为医学研究所）发布报告《人非圣贤，孰能无过：建立更安全的卫生保健系统》以来，人们对患者安全风险的认识不断提高。患者和整个社会继续要求医疗保健提供者审视他们的做法并实施安全解决方案。由于报告继续揭示各种可避免的错误，从涉及特定高风险药物的错误到更具普遍性的错误，例如患者身份识别错误和诊断错误，医学实践中造成的伤害的深度和广度仍在不断被定义。在所有实践环境中，儿科医疗保健提供者都受益于了解患者安全语言。儿科提供者应该倡导最佳实践和政策，目标是关注儿童特有的风险，识别和支持安全文化，并在提供儿童医疗服务的任何环境中努力消除可避免的伤害。在本政策声明中，我们对 2011 年的政策声明《儿科患者安全原则：减少医疗造成的伤害》进行了更新。
