ACT Health Directorate, 2 Bowes Street, Phillip, ACT 2606, Australia.
Int J Qual Health Care. 2020 Apr 27;32(2):156-159. doi: 10.1093/intqhc/mzz129.
In all processes, there is an inherent risk of variability to occur. In the process of delivering healthcare, variability can occur as a result of an error or omission and compromise the quality of care or affect the safety of the health care consumer. Even though incident reporting, root cause analysis, use of checklists and other quality improvement methods are in wide-spread use, we may not be using these tools appropriately and therefore we are losing an opportunity to improve the quality of care.
在所有流程中，都存在固有变异风险。在提供医疗保健服务的过程中，由于错误或疏漏，可能会发生变异，从而影响医疗服务质量或危及医疗保健消费者的安全。尽管事件报告、根本原因分析、检查表的使用和其他质量改进方法已广泛应用，但我们可能没有正确使用这些工具，因此错失了改善医疗服务质量的机会。
