Defining and measuring patient safety

被引:74
作者
Pronovost, PJ
Thompson, DA
Holzmueller, CG
Lubomski, LH
Morlock, LL
机构
[1] Johns Hopkins Univ, Sch Med, Dept Anesthesiol & Crit Care Med, Baltimore, MD 21231 USA
[2] Ctr Innovat Qual Patient Care, Baltimore, MD 21287 USA
[3] Johns Hopkins Univ, Sch Med, Dept Ophthalmol, Baltimore, MD 21231 USA
[4] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Baltimore, MD 21205 USA
关键词
D O I
10.1016/j.ccc.2004.07.006
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Despite the growing demand for improved safety in health care, debate remains regarding the magnitude of the problem and the degree to which harm is preventable. To a great extent, this debate stems from variation in the definition and methods for measuring safety, its "shadow" error, and the degree of preventability. This article reviews the definition of safety and error, discusses approaches to measuring safety and provides a framework for investigating incidents that unveils how the systems under which care is delivered may contribute to adverse incidents.
引用
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页码:1 / +
页数:20
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