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为什么医疗保健组织文化中的问责共享意味着患者可能更安全。

Why Accountability Sharing in Health Care Organizational Cultures Means Patients Are Probably Safer.

机构信息

Consultant medical writer and editor.

Senior research associate for the American Medical Association Council on Ethical and Judicial Affairs in Chicago, Illinois.

出版信息

AMA J Ethics. 2020 Sep 1;22(9):E779-783. doi: 10.1001/amajethics.2020.779.

Abstract

Because human errors should be regarded as expected events, health care organizations should routinize processes aimed at human error prevention, limit negative consequences when human errors do occur, and support and educate those who have erred. A just culture perspective suggests that responding punitively to those who err should be reserved for those who have willfully and irremediably caused harm, because punishment creates blame-based workplace cultures that deter error reporting, which makes patients less safe.

摘要

由于人为错误应被视为预期事件,医疗保健组织应将预防人为错误的流程常规化,限制人为错误发生时的负面影响,并为犯错者提供支持和教育。公正文化观点认为,对那些故意且不可挽回地造成伤害的人进行惩罚性回应是应该的,因为惩罚会导致以责备受罚为基础的工作场所文化,从而阻止错误报告,使患者更不安全。

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