公众调查、患者安全与实施差距。
Public inquiries, patient safety and the implementation gap.
作者信息
Hughes Helen
机构信息
Patient Safety Learning.
出版信息
Future Healthc J. 2023 Mar;10(1):7-9. doi: 10.7861/fhj.2023-FR103.
Abstract
A decade on from the Francis report, avoidable patient harm continues to occur and we have continued to see new inquiries and reviews into serious patient safety scandals. A failure to listen to patients or learn from previous investigations, a corrosive blame culture, a lack of effective leadership and an unresponsive regulatory framework are alarming and often reported themes that we review here.
摘要
自弗朗西斯报告发布十年以来，可避免的患者伤害仍在发生，我们也不断看到针对严重患者安全丑闻展开新的调查和审查。未能倾听患者意见或从以往调查中吸取教训、有害的指责文化、缺乏有效的领导力以及反应迟钝的监管框架，都是令人担忧且经常被报道的问题，我们将在此进行审视。
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