Department of Otolaryngology-Head & Neck Surgery, University of Michigan School of Medicine, 1500 East Medical Center Drive SPC 5312, 1904 Taubman Center, Ann Arbor, MI 48109-5312, USA; GTC Quality Improvement Collaborative, Durham, NC, USA.
Boothman Consulting Group, LLC, Ann Arbor, MI, USA; Department of Surgery, University of Michigan Medical School, Ann Arbor; Center for Patient and Professional Advocacy, Vanderbilt University Medical Center, Nashville, TN, USA.
Otolaryngol Clin North Am. 2022 Feb;55(1):43-61. doi: 10.1016/j.otc.2021.07.016.
At the foundation of clinical medicine is the relationship among patients, families, and health care professionals. Implicit to that social contract, professionals pledge to bring clinical excellence to advance their patients' wellness and healing-and to prevent harm. Patients trust that those privileged to deliver care will do so unwaveringly in service of patients' best interests; however, the incentives and infrastructure surrounding health care delivery can promote or undermine individual performance, teamwork, and patient safety. Modeling professionalism and identifying slips and lapses supports pursuit of high reliability. Part 1, Promoting Professionalism, introduces the first of 3 pillars of advancing the clinical mission.
临床医学的基础是患者、家庭和医疗保健专业人员之间的关系。在这种社会契约中，专业人员承诺将临床卓越作为提高患者健康和康复水平的手段，并防止伤害。患者相信，那些有特权提供护理的人将坚定不移地为患者的最佳利益服务；然而，医疗服务提供的激励机制和基础设施可能会促进或破坏个人表现、团队合作和患者安全。树立专业精神和识别失误和疏忽有助于追求高可靠性。第 1 部分“促进专业精神”介绍了推进临床任务的 3 个支柱中的第一个。
