医学中的患者安全与风险管理：从理论到实践

English | 30 January 2024 | ISBN-10: 303149864X | 520 pages| Epub PDF (True) | 19 MB

Medical errors can have serious consequences, often resulting in harm to patients or even death. In the last decades the issue of the 2nd victim was raised, emphasizing the impact of being involved in an adverse event on the ability of caregivers to provide high quality and safe treatment. In 1999, the American Institute of Medicine (IOM) declared that rather than assigning blame for these errors, professional investigations should be carried out to identify what caused them and prevent similar events from reoccurring in the future focusing on systemic factors. It is estimated that in the US alone, there are between 250,000 to 400,000 preventable deaths annually due to medical errors, costing over 15 billion dollars per year. In response to this challenging issue, a team of medical professionals has created a comprehensive textbook on the subject of safety and risk management in medicine. This book covers a range of topics, including basic principles and concepts, the scope of iatrogenic harm, the development of risk management in medicine, and the organizational safety culture. Emphasis is placed on the human and organizational factors that contribute to medical errors, as well as practical methods and tools for coping effectively with this phenomenon. The book is based on extensive practical experience in promoting patient safety in a variety of medical organizations. In addition, the book includes a large chapter on risk management during epidemics, which has become increasingly relevant in the wake of the COVID-19 pandemic.

医疗错误可能带来严重后果，常常导致患者受伤甚至死亡。近年来，“第二受害者”这一问题被提出，强调参与不良事件对护理人员提供高质量和安全治疗能力的影响。1999年，美国国家科学院研究所（IOM）宣布，不应为这些错误分配责任，而应进行专业调查以确定其原因，并预防未来相似事件的发生，重点在于系统性因素。据估计，仅在美国每年就有25万至40万的医疗错误导致可预防死亡，这耗费了超过150亿美元。 针对这一挑战性的问题，一群医疗专业人士编写了一本关于医学安全与风险管理的综合性教科书。该书涵盖了广泛的主题，包括基本原则和概念、医源性损害的范围、医学风险管理体系的发展以及组织的安全文化。重点放在导致医疗错误的人类及组织因素上，并提供有效应对这一现象的实际方法和技术工具。这本书基于在各种医疗机构中促进患者安全的广泛实践经验而编写。此外，书中还包括一个关于流行病期间风险管理的大章节，这在新冠疫情之后变得越来越相关。

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