Department of Obstetrics and Gynecology, University of Connecticut, Storrs, CT, USA; Accreditation Association for Hospitals and Health Systems (AAHHS); Women's Health Connecticut.
Obstet Gynecol Clin North Am. 2019 Jun;46(2):379-387. doi: 10.1016/j.ogc.2019.01.012.
The past 4 decades have seen a remarkable re-engineering of health care, particularly with respect to surgical services and the formalization of patient safety protocols. As various forces drove many surgical procedures to the ambulatory setting, many advantages, and perhaps several disadvantages, quickly became apparent. In some studies, adverse events were found to be more common in office settings for instance, and it was quickly recognized that the formal quality controls that had evolved in the hospital setting were not always transferred to the outpatient facility. This article traces the development of health care's response to this challenge.
在过去的 40 年中，医疗保健领域经历了一次显著的重构，尤其是在外科服务和患者安全协议的规范化方面。随着各种力量将许多外科手术推向门诊环境，许多优势，也许还有一些劣势，很快就显现出来。例如，在一些研究中发现，不良事件在办公室环境中更为常见，而且人们很快认识到，在医院环境中发展起来的正式质量控制措施并不总是能够转移到门诊设施。本文追溯了医疗保健行业对这一挑战的应对措施的发展历程。
