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首页> 外文期刊>Journal of Hand Surgery. American Volume >Patient Safety Movement: History and Future Directions
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Patient Safety Movement: History and Future Directions

机译：患者安全运动：历史和未来方向

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Despite progress within the past 15 years, improving patient safety in health care remains an important public health issue. The history of safety policies, research, and development has revealed that this issue is more complex than initially perceived and is pertinent to all health care settings. Solutions, therefore, must be approached at the systems level and supplemented with a change in safety culture, especially in higher risk fields such as surgery. To do so, health care agents at all levels have started to prioritize the improvement of nontechnical skills such as teamwork, communication, and accountability, as reflected by the development of various checklists and safety campaigns. This progress may be sustained by adopting teamwork training programs that have proven successful in other high-risk industries, such as crew resource management in aviation. These techniques can be readily implemented among surgical teams; however, successful application depends heavily on the strong leadership and vigilance of individual surgeons. Copyright (C) 2018 by the American Society for Surgery of the Hand. All rights reserved.
机译：尽管在过去15年中取得了进展，但改善医疗保健中的患者安全仍然是一个重要的公共卫生问题。安全政策、研究和开发的历史表明，这个问题比最初认为的更复杂，并且与所有医疗保健环境相关。因此，必须在系统层面寻求解决方案，并辅之以安全文化的变化，尤其是在手术等高风险领域。为了做到这一点，各级医疗机构已经开始优先考虑提高非技术技能，如团队合作、沟通和问责，这反映在各种检查表和安全活动的制定上。这一进步可以通过采用团队合作培训项目来维持，这些项目在其他高风险行业已被证明是成功的，例如航空业的机组人员资源管理。这些技术可以很容易地在外科团队中实施；然而，成功的应用在很大程度上取决于个体外科医生的坚强领导和警惕性。版权所有（C）2018年美国手外科学会。版权所有。

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