Department of Dermatology, Dermatology Plastic Surgery Institute, Cleveland Clinic and Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland OH.
Dermatol Online J. 2021 Mar 15;27(3):13030/qt9cp0t2wt.
We update and expand our 2010 article in this journal, Patient safety in dermatology: A review of the literature [4][DH1].
PubMed at the National Center for Biotechnology Information (NCBI), United States National Library of Medicine (NLM) was searched September 2019 for English language articles published between 2009 and 2019 concerning patient safety and medical error in dermatology. Potentially relevant articles and communications were critically evaluated by the authors with selected references from 2020 added to include specific topics: medication errors, diagnostic errors including telemedicine, office-based surgery, wrong-site procedures, infections including COVID-19, falls, laser safety, scope of practice, and electronic health records.
Hospitals and clinics are adopting the methods of high-reliability organizations to identify and change ineffective practice patterns. Although systems issues are emphasized in patient safety, people are critically important to effective teamwork and leadership. Advancements in procedural and cosmetic dermatology, organizational and clinical guidelines, and the revolution in information technology and electronic health records have introduced new sources of potential error.
Despite the growing number of dermatologic patient safety studies, our review supports a continuing need for further studies and reports to reduce the number of preventable errors and provide optimal care.
我们更新并扩展了我们在本杂志上 2010 年的文章，即《皮肤科患者安全：文献综述》[4][DH1]。
2019 年 9 月，在美国国家生物技术信息中心（NCBI）的国家医学图书馆（NLM）的 PubMed 上，以英文检索了 2009 年至 2019 年期间发表的关于皮肤科患者安全和医疗错误的文章。作者对潜在相关的文章和通讯进行了批判性评估，并从 2020 年添加了特定主题的选定参考文献：药物错误、包括远程医疗在内的诊断错误、门诊手术、错误部位手术、感染（包括 COVID-19）、跌倒、激光安全、实践范围和电子健康记录。
医院和诊所正在采用高可靠性组织的方法来识别和改变无效的实践模式。尽管系统问题在患者安全中受到强调，但人员对于有效的团队合作和领导力至关重要。程序和美容皮肤科、组织和临床指南的进步，以及信息技术和电子健康记录的革命，引入了新的潜在错误源。
尽管皮肤科患者安全研究的数量不断增加，但我们的综述支持进一步研究和报告的持续需求，以减少可预防的错误数量并提供最佳护理。
