Connecticut Convergence Institute for Translation in Regenerative Engineering, UConn Health, Farmington, CT, USA.
J Racial Ethn Health Disparities. 2019 Oct;6(5):869-873. doi: 10.1007/s40615-019-00626-4. Epub 2019 Aug 23.
Predicting and preparing for the unforeseen is challenging. Medicine and health care are continuously changing based on science, technology, and regulation. This very process of change creates pathways for surprise and leaves us vulnerable to its impact. The armed forces have established strategies to identify and address surprising events, a framework that can be adapted to benefit the medical community. We introduce Medical Surprise Anticipation and Recognition Capability (SARC), adapted from an established military strategy. SARC is the process of addressing surprising events before they emerge. We explore the framework for mitigating surprise as developed by the Committee on Capability Surprise on U.S. Naval Forces. We recommend further exploration of this concept in health care as a potential asset in our quest towards high reliability.
预测和准备未知的情况具有挑战性。医学和医疗保健不断根据科学、技术和法规发生变化。这种变化过程为意外事件创造了途径，使我们容易受到其影响。武装部队已经制定了策略来识别和应对意外事件，该框架可以为医疗社区带来好处。我们引入了医学意外预测和识别能力（SARC），这是从成熟的军事战略中改编而来的。SARC 是在意外事件出现之前解决它们的过程。我们探讨了美国海军部队能力意外委员会制定的减轻意外的框架。我们建议在医疗保健领域进一步探索这一概念，作为我们追求高可靠性的潜在资产。
