Clin Nucl Med. 2022 Sep 1;47(9):e624-e626. doi: 10.1097/RLU.0000000000003338.
Reports from the Institute of Medicine regarding the number of errors in medicine leading to fatalities prompted a major review of medical practices and a move to make medical systems high reliability organizations. Many of the concepts used today to improve performance in health care are borrowed from what has been learned from successes and accidents in other industries, especially in the aviation, space, and nuclear power programs. An emphasis on excellent leadership and communication, the knowledge that there needs to be an emphasis on system failures rather than human failures, and having a safety culture that encourages everyone to be mindful of potential errors and report errors are critical to achieve high reliability.
美国医学研究所（Institute of Medicine）发布的报告显示，医疗失误导致了许多死亡事件，这促使人们对医疗实践进行了重大审查，并推动将医疗系统转变为高可靠性组织。如今，许多用于提高医疗保健绩效的概念都借鉴了其他行业（尤其是航空、航天和核电领域）成功和事故经验。强调卓越的领导力和沟通、认识到需要重点关注系统故障而不是人为故障，以及建立一种鼓励每个人关注潜在错误并报告错误的安全文化，对于实现高可靠性至关重要。
