Sirrs Christopher
Department of History, University of Warwick, Coventry, UK.
Soc Hist Med. 2024 Mar 12;37(1):93-115. doi: 10.1093/shm/hkad089. eCollection 2024 Feb.
This article explores the 'the moment of patient safety'-the period around 2000 when patient safety became a key policy concern of the British National Health Service (NHS), and other healthcare systems. While harm caused by medical care (iatrogenic injury) had long been acknowledged by clinicians and scientists, from 2000 a new systemic language of patient safety emerged in the NHS that promoted novel managerial and regulatory approaches to patient harm. This language reflected the state's increasing role in regulating healthcare, as well as the erosion of medical autonomy and the rise of new forms of bureaucratic management. Acknowledging a transnational, intellectual context behind the rise of policy interest in patient safety-for example, the application of insights from the industrial safety sciences-this article examines the role played by domestic cultural factors, such as medical negligence litigation and healthcare scandals, in helping to define the new language in Britain.
本文探讨了“患者安全时刻”——大约在2000年前后的一段时间，彼时患者安全成为英国国民医疗服务体系（NHS）及其他医疗体系的一项关键政策关注点。虽然医疗护理造成的伤害（医源性损伤）长期以来已为临床医生和科学家所认识，但自2000年起，NHS中出现了一种全新的患者安全系统性话语，它推动了针对患者伤害的新型管理和监管方法。这种话语反映了国家在医疗监管方面日益增强的作用，以及医学自主性的削弱和新型官僚管理形式的兴起。认识到在政策对患者安全兴趣上升背后存在跨国知识背景——例如工业安全科学见解的应用，本文考察了国内文化因素，如医疗过失诉讼和医疗丑闻，在帮助界定英国新话语方面所起的作用。
