The nature of surgical error - A cautionary tale and a call to reason

The nature of surgical error - A cautionary tale and a call to reason
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DOI:
10.1007/s00464-005-8108-1
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发表时间:
2005-08-01
影响因子:
3.1
通讯作者:
Satava, RM
Satava, RM
中科院分区:
医学2区
文献类型:
--
作者:
Satava, RM

文献摘要

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错误和“病人安全”对外科手术具有极大的重要性。就像所有新事物一样,在回归平衡的观点之前,会有一个最初的过度反应。目前,针对全球对错误的关注,人们的反应是抓住最新的报告,这些报告关注的是错误的“系统性”,也被称为“新面貌”。“有一个无意中忽略了实际的错误,被称为coface错误,外科医生承诺。现在是时候把错误的角度来看,并重新定义错误的外科社区的背景下,这可能会导致在外科医生的立场方面的系统和个人责任的平衡。
Errors and "patient safety" have taken on monumental importance for surgery. Like all things new, there is an initial over-reaction before a return to a balanced perspective. The current response to the global interest in error has been to seize on the latest reports that are focusing on the "systemic nature" of errors, which is also being referred to as "the new look." There has been an unintentional ignoring of the actual error, referred to as the coface error, that the surgeon commits. It is time to put the approach to errors into perspective and redefine errors within the context of the surgical community, which can result in a balance of the surgeon's position in regard to systemic and personal responsibility.