Gaps in the continuity of care and progress on patient safety
Gaps in the continuity of care and progress on patient safety
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DOI：
10.1136/bmj.320.7237.791
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发表时间：
2000-03-18
影响因子：
--
通讯作者：
Woods, DD
中科院分区：
文献类型：
--
作者：
Cook, RI;Render, M;Woods, DD
患者安全运动包括各种各样的方法和观点，关于如何描述患者安全，研究失败和成功，以及提高安全性。归根结底，所有这些方法都涉及到在复杂、快速变化、本质上危险的卫生保健世界中处于“尖端”的从业者的技术工作性质。1 2显然，技术工作者(医生、护士、技术员、药剂师和其他人)的一项主要活动是应对复杂性，特别是应对复杂性产生的差距。3探索差距和从业者预测、检测和弥合差距的方式是追求患者安全的有力改善的有效手段。
The patient safety movement includes a wide variety of approaches and views about how to characterise patient safety, study failure and success, and improve safety. Ultimately all these approaches make reference to the nature of technical work of practitioners at the “sharp end” in the complex, rapidly changing, intrinsically hazardous world of health care. 1 2 It is clear that a major activity of technical workers (physicians, nurses, technicians, pharmacists, and others) is coping with complexity and, in particular, coping with the gaps that complexity spawns. 3 Exploration of gaps and the way practitioners anticipate, detect, and bridge them is a fruitful means of pursuing robust improvements in patient safety.