Quality and the Health System: Becoming a High Reliability Organization.
Quality and the Health System: Becoming a High Reliability Organization.
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DOI：
10.1016/j.anclin.2018.01.010
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发表时间：
2018-06-01
影响因子：
--
通讯作者：
Diller, Thomas
中科院分区：
文献类型：
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作者：
Gaw, Monaliza;Rosinia, Frank;Diller, Thomas
自 1999 年《人都会犯错》出版以来，医疗保健行业为提高质量和患者安全做出了巨大努力。尽管已经做出了改进，但最近的估计仍然表明需要对方法进行显着改变。在本文中，作者讨论了高可靠性组织、安全文化和临床微系统的概念和特征。医疗保健提供系统必须超越当前的质量和患者安全方法，并充分融入这些新概念，以改变医疗保健系统的绩效。
Since the publication of "To Err is Human" in 1999, substantial efforts have been made within the health care industry to improve quality and patient safety. Although improvements have been made, recent estimates continue to indicate the need for a marked change in approach. In this article, the authors discuss the concepts and characteristics of high reliability organizations, safety culture, and clinical microsystems. The health care delivery system must move beyond current quality and patient safety approaches and fully engage in these new concepts to transform health care system performance.