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首页> 外文期刊>Clinical leadership and management review: the journal of CLMA >To err is human: improving patient safety through failure mode and effect analysis.
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To err is human: improving patient safety through failure mode and effect analysis.

机译:犯错是人类:通过故障模式和效果分析提高患者安全性。

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摘要

Patient care errors occur in the laboratory. Traditionally, most errors have been thought to occur because of individual human failure. The assumption is that with adequate training, education; and orientation, technologists will perform flawlessly. Laboratory processes are designed on the premise that nothing will go wrong. Health-care professionals are looking at new methods of error prevention including Failure Mode and Effect Analysis (FMEA). Based on long experience in the engineering field, FMEA assumes everything will fail, humans err frequently, and the cause of an error often is beyond the individual's control. FMEA is a proactive, systematic, multidisciplinary team-based approach to error prevention. Patient safety is now a high priority with the Joint Commission on Accreditation of Healthcare Organizations, and this article introduces FMEA, a new method for improving our processes to enhance patient safety.
机译:患者护理错误在实验室中发生。传统上,大多数错误被认为是由于个人的人为失误而发生的。假设是经过适当的培训,教育;和定位,技术人员将表现完美。设计实验室过程的前提是不会出错。卫生保健专业人员正在寻找新的错误预防方法,包括故障模式和影响分析(FMEA)。基于在工程领域的长期经验,FMEA假设一切都会失败,人为犯错,并且错误原因往往超出了个人的控制范围。 FMEA是一种基于团队的主动,系统,多学科的错误预防方法。现在,患者安全是医疗组织认可联合委员会的高度优先事项,本文将介绍FMEA,这是一种改进我们的流程以提高患者安全性的新方法。

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