定义医疗保健中医疗差错的不良事件和决定因素

V. Kapaki, K. Souliotis
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引用次数: 4

摘要

错误的概念通常涉及一个行为,而不是其结果,并且当将其划分为类别(医疗错误,护士对(药物)错误的看法,诊断错误)时,其含义就变得清晰起来。一个错误的行动可能会也可能不会导致不良事件,因为上述行动没有对患者的健康状况造成任何严重损害,或者因为它被及时发现和纠正。相反,在研究中交替使用的误差概念是指一项行动的不利结果。医疗保健系统中出现错误的责任是由组织和功能复杂性、医学科学的多面性和不确定性以及人性的不完善所支配的医疗保健系统的性质所共同承担的。医疗差错应作为医疗系统的差错进行检查,以确定其根本原因并制定预防措施。本章的主要目的如下:(1)了解医疗差错和不良事件,并定义描述它们的术语;(2)了解医疗差错和不良事件如何发生以及如何预防它们的最佳方式。此外,还明确了它们的分类及其决定因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Defining Adverse Events and Determinants of Medical Errors in Healthcare
The concept of error typically regards an action, not its outcome, and its meaning becomes clear when separated into categories (medical error, nurse perceptions of (medication) error, diagnostic error). One wrong action may or may not lead to an adverse event either because the abovementioned action did not cause any serious damage to patients’ health condition or because it was promptly detected and corrected. The concept of error, on the contrary, which is used alternatively in the study, refers to the adverse outcome of an action. The responsibility for the emergence of errors in healthcare systems is shared among the nature of the healthcare system that is governed by organizational and functional complexity, the multifaceted and uncertain nature of medical science, and the imperfections of human nature. Medical errors should be examined as errors of the healthcare system, in order to identify their root causes and develop preventive mea- sures. The main aims of this chapter are the following: (1) to understand medical errors and adverse events and define the terms that describe them; and (2) the most excellent way to comprehend how medical errors and adverse events occur and how to prevent them. Moreover it makes clear their classification and their determinants.
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