A surgeon who CARES can be safer

被引:10
作者
Clarke, JR [1 ]
Marella, W
Johnston, J
Davis, M
机构
[1] Emergency Care Res Inst, Plymouth Meeting, PA USA
[2] Penn Patient Safety Author, Penn Patient Safety Reporting Syst, Harrisburg, PA USA
[3] Drexel Univ, Dept Surg, Philadelphia, PA 19104 USA
[4] Univ Penn, Leonard Davis Inst Hlth Econ, Philadelphia, PA 19104 USA
关键词
high-reliability organizations; highly reliable organizations; human factors; medical errors; patient safety; surgery;
D O I
10.1016/j.amjsurg.2005.05.039
中图分类号
R61 [外科手术学];
学科分类号
摘要
The characteristics of a high-reliability organization are reviewed. Examples of how these characteristics relate to patient safety in surgical practice are illustrated by vignettes. The characteristics discussed include commitment to safety demonstrated to others by the conduct of one's practice; attention focused on one's own performance and the performance of others to the task at hand; rehearsal and proper preparation and contingency planning for procedures; effective communication so that information is accurate, adequate, unambiguous, and confirmed; and sense-making, or an understanding and verification of consistency between what is observed and expected and between what is planned and the promises for those plans. (c) 2005. Excerpta Medica Inc. All rights reserved.
引用
收藏
页码:356 / 358
页数:3
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