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Health Care Serial Murder: A Patient Safety Orphan

机译:医疗保健系列谋杀案:患者安全孤儿

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The importance of integrated safety systems in health care is now well recognized, and widespread efforts to strengthen health care safety systems have been made in the last decade. These efforts to improve patient safety have not included strategies aimed at preventing HCSM. Although instances of HCSM are rare, they appear to be occurring more frequently. These occurrences have repeatedly highlighted significant vulnerabilities in health care safety systems and have raised challenging questions about the public accountability of health care as an enterprise. We believe that more should be done to build a capacity to understand the causes of and to prevent HCSM, and we recommend that several actions be taken toward this end.
机译:如今,人们已经充分认识到集成安全系统在医疗保健中的重要性,并且在过去的十年中,为加强医疗保健安全系统做出了广泛的努力。这些提高患者安全性的努力并未包括旨在预防HCSM的策略。尽管HCSM的情况很少见,但它们似乎更频繁地发生。这些事件一再强调了医疗保健安全系统中的重大漏洞,并就医疗保健作为企业的公共责任制提出了具有挑战性的问题。我们认为,应该做更多的工作来建立理解HCSM的原因和预防HCSM的能力,我们建议为此采取一些行动。

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