Balancing "No Blame" with Accountability in Patient Safety.

被引：178

作者：

Wachter, Robert M. ^{[1
]}

Pronovost, Peter J. ^{[2
,3
,4
,5
]}

机构：

[1] Univ Calif San Francisco, Dept Med, San Francisco, CA 94143 USA

[2] Johns Hopkins Sch Med, Dept Anesthesiol & Crit Care, Baltimore, MD USA

[3] Johns Hopkins Sch Med, Dept Surg, Baltimore, MD USA

[4] Johns Hopkins Sch Med, Dept Hlth Policy & Management, Baltimore, MD USA

[5] Johns Hopkins Sch Publ Hlth, Baltimore, MD USA

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2009年 / 361卷 / 14期

关键词：

SITE;

D O I：

10.1056/NEJMsb0903885

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The authors argue that in the context of appropriate efforts to reduce medical errors by correcting problems in care-delivery systems, health care organizations have underemphasized individual responsibility. They propose punishing providers who repeatedly do not adhere to procedures for improving patient safety, such as hand washing. Copyright © 2009 Massachusetts Medical Society. All rights reserved.

引用

页码：1401 / 1406

页数：6

共 32 条

[1] [Anonymous], ERR IS HUM BUILD SAF
[2] Stress and Burnout Among Surgeons Understanding and Managing the Syndrome and Avoiding the Adverse Consequences
Balch, Charles M.
Freischlag, Julie A.
Shanafelt, Tait D.
[J]. ARCHIVES OF SURGERY, 2009, 144 (04) : 371 - 376
[3] Patient safety: Improving safety with information technology
Bates, DW
Gawande, AA
[J]. NEW ENGLAND JOURNAL OF MEDICINE, 2003, 348 (25) : 2526 - 2534
[4] Getting surgery right
Clarke, John R.
Johnston, Janet
Finley, Edward D.
[J]. ANNALS OF SURGERY, 2007, 246 (03) : 395 - 405
[5] DERGURAHIAN J, 2008, FORMER LEAPFROG CEO
[6] Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback
Garnerin, P.
Ares, M.
Huchet, A.
Clergue, F.
[J]. QUALITY & SAFETY IN HEALTH CARE, 2008, 17 (06): : 454 - 458
[7] System failure versus personal accountability - The case for clean hands
Goldmann, D
[J]. NEW ENGLAND JOURNAL OF MEDICINE, 2006, 355 (02) : 121 - 123
[8] A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population.
Haynes, Alex B.
Weiser, Thomas G.
Berry, William R.
Lipsitz, Stuart R.
Breizat, Abdel-Hadi S.
Dellinger, E. Patchen
Herbosa, Teodoro
Joseph, Sudhir
Kibatala, Pascience L.
Lapitan, Marie Carmela M.
Merry, Alan F.
Moorthy, Krishna
Reznick, Richard K.
Taylor, Bryce
Gawande, Atul A.
[J]. NEW ENGLAND JOURNAL OF MEDICINE, 2009, 360 (05) : 491 - 499
[9] A complementary approach to promoting professionalism: Identifying, measuring, and addressing unprofessional behaviors
Hickson, Gerald B.
Pichert, James W.
Webb, Lynn E.
Gabbe, Steven G.
[J]. ACADEMIC MEDICINE, 2007, 82 (11) : 1040 - 1048
[10] Assessment of the Practicing Physician: Challenges and Opportunities
Holmboe, Eric S.
[J]. JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS, 2008, 28 : S4 - S10

← 1 2 3 4 →