创建安全文化保证患者安全

探讨医疗安全与患者安全现状,分析医疗差错发生的原因,提出医疗风险无处不在,保障患者就医安全应从加强医疗安全做起,患者安全成功的关键在于文化建设,积极的安全文化接受差错出现的必然性,主动地寻找系统内潜在的危机,患者安全文化是医疗安全的思想基础、行动依据和内在动力;医疗机构应重视患者安全,增加人、财、物的投入,优化资源配置及诊疗流程,增进患者安全。     

Seven steps to patient safety

Nurses have a fundamental role in ensuring the safety of patients in their care. Judith Chamberlain-Webber outlines current policy measures aimed at removing the blame culture and encouraging the reporting of incidents and near misses without fear of reprimand, so that lessons can be learned.     

The merry-go-round of patient rounding: assure your patients get the brass ring

Staff members on a medical-surgical unit in a large community teaching hospital adapted the hourly rounding concept to their specific patient population. Lessons learned and strategies to assure continuous success with the rounding process are addressed.     

Barriers to the implementation of patient safety initiatives

Since release of the Institute of Medicine Report "To Err is Human:Building a Safer Health System" in 1999, a huge effort has been expended on error-related clinically applied research and on the implementation of new standards and practices related to quality improvement and patient safety. Nonetheless, measurable improvements in the quality of delivered care and reductions in medical errors have been variable and modest in most cases. Multiple barriers to the implementation of patient safety and error reduction initiatives have been identified in the literature. The greater part of this article is devoted to three fundamental barriers: physicians' intolerance for uncertainty, health professionals' fears, and an organizational structure and culture that are incongruent with increasing patient safety.