Department of Anaesthesia and Critical Care Medicine, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Br J Hosp Med (Lond). 2024 Apr 30;85(4):1-9. doi: 10.12968/hmed.2023.0444.
Patient safety in healthcare remains a top priority. Learning from safety events is vital to move towards safer systems. As a result, reporting systems are recognised as the cornerstone of safety, especially in high-risk industries. However, in healthcare, the benefits of reporting systems in promoting learning remain contentious. Though the strengths of these systems, such as promoting a safety culture and providing information from near misses are noted, there are problems that mean learning is missed. Understanding the factors that both enable and act as barriers to learning from reporting is also important to consider. This review, considers the effectiveness of reporting systems in contributing to learning in healthcare.
患者安全仍然是医疗保健的重中之重。从安全事件中吸取教训对于迈向更安全的系统至关重要。因此，报告系统被认为是安全的基石，尤其是在高风险行业。然而，在医疗保健领域，报告系统在促进学习方面的好处仍然存在争议。尽管这些系统具有促进安全文化和提供近因信息等优势，但也存在一些问题，导致学习机会被错失。了解促进和阻碍从报告中学习的因素也很重要。本综述考虑了报告系统在促进医疗保健学习方面的有效性。
