Error in Medicine

作者: Lucian L. Leape

DOI: 10.1097/00043764-199509000-00004

关键词: Teaching hospitalMedical emergencyIatrogenic injuryDo no harmMedicineUniversity hospitalUniversity medical

摘要: FOR YEARS, medical and nursing students have been taught Florence Nightingale's dictum—first, do no harm. 1 Yet evidence from a number of sources, reported over several decades, indicates that substantial patients suffer treatment-caused injuries while in the hospital. 2-6 In 1964 Schimmel 2 20% admitted to university hospital service suffered iatrogenic injury those were serious or fatal. Steel et al 3 found 36% teaching an event, which 25% life threatening. More than half related use medication. 1991 Bedell 4 results analysis cardiac arrests at They 64% preventable. Again, inappropriate drugs was leading cause

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