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The Missing Safe Practice

机译：缺少的安全实践

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The leadership of St. Mary's Hospital deserves praise for finally beginning to tell its story about the fatal medication error that occurred in 2006.' That said, it is disappointing that a key safe practice is missing.rnIn 2007, I used this very case to propose five rights of care-givers that health care leaders "must consider as an integral part of a fair and just culture when patients are harmed during the process of care." Careful study of the associated issues led to an evidenced-based "Care of the Caregiver" safe practice, released early in 2009 by the National Quality Forum (NQF) in its Safe Practices for Better Healthcare? Developed through a transparent, consensus-based, national process set forth by the U.S. Congress in 2008, this safe practice, among a current total of 34 safe practices, became an endorsed national standard. Yet there is no evidence that Safe Practice 8 has ever been adopted at St. Mary's; it is not cited in the article.
机译：圣玛丽医院的领导层终于开始讲述其有关2006年发生的致命药物错误的故事，值得称赞。就是说，令人失望的是，缺少一项关键的安全实践。rn在2007年，我利用这一案例提出了五项看护人权利，医护人员“必须在看护病人时将其视为公平和公正文化的组成部分”。在护理过程中受到伤害。”对相关问题的认真研究导致了“证据照护者”的安全实践，该实践于2009年初由美国国家质量论坛（NQF）在其“改善医疗保健的安全实践”中发布？通过美国国会在2008年制定的透明的，基于共识的国家程序制定的这种安全措施，在目前的34种安全措施中，已成为公认的国家标准。然而，没有证据表明安全实践8已在圣玛丽大教堂采用；本文未引用它。

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