作者: David B. Larson , Jonathan B. Kruskal , Karl N. Krecke , Lane F. Donnelly
关键词: Human error 、 Radiology 、 Organizational culture 、 Organizational safety 、 Quality management system 、 Quality (business) 、 Patient safety 、 Harm 、 Medicine 、 Quality management
摘要: Harm from medical error is a difficult challenge in health care, including radiology. Modern approaches to patient safety have shifted focus on individual performance and reaction errors development of robust systems processes that create organizations. Organizations operate safely high-risk environments been termed high-reliability Such organizations tend see themselves as being constantly bombarded by errors. Thus, the goal not eliminate human but develop strategies prevent, identify, mitigate their effects before they result harm. High-level reliability organizational culture; intermediate-level establishment effective processes; low-level performance. Although several classification schemes for exist, modern researchers caution against overreliance investigations improve safety. Blaming individuals involved adverse events when had no intent cause harm has shown undermine Safety coined term just culture successful balance accountability with accommodation fallibility system deficiencies. inextricably intertwined an organization's quality efforts. A management focuses standardization, making visible, building quality, stopping fix problems results safer environment engages personnel way contributes