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[背景介绍]病人安全(patient safety)越来越受到公众和专业人士的重视。美国医学研究所(Institute of Medicine,IOM)1999年出台的一个报告称,每年因医疗过错死亡的人数在44000人到98000人之间,而这些事故本来是可以避免的。美国国家医疗机构评审联合委员会(Joint Commission on Ac- creditation of Healthcare Organizations,JCAHO)是负责病人安全的主要组织,它在每年7月都提出年度国家病人安全目标,这些目标强调医疗照护中有问题的方面,经过科学证据和专家评议,提出解决问题的方法。Mark Hagland是芝加哥的一位医学专栏作家,他认为自从JCAHO在7年前强制推行“质量缺陷”报告以来,虽然有些医院在病人安全方面取得了一些进步,但整个行业在这方面的形势还是很严峻的。为此他写了一系列的报道,发表在Healthcare Informatics上,本文是第一篇。
[Background introduction] Patient safety is getting more and more attention from the public and professionals. A report issued by the Institute of Medicine (IOM) in 1999 states that the number of people who die from medical errors every year is between 44,000 and 98,000, and these accidents could have been avoided. The Joint Commission on Ac-creditation of Healthcare Organizations (JCAHO) is the main organization responsible for patient safety. It proposes annual national patient safety goals in July each year. These objectives emphasize problems in medical care. On the other hand, after scientific evidence and expert comments, a method for solving problems was proposed. Mark Hagland is a medical columnist in Chicago. He believes that since the JCAHO forced the implementation of the “Quality Defects” report seven years ago, although some hospitals have made some progress in patient safety, the entire industry is still in this situation. rigorous. For this reason he wrote a series of reports, published in Healthcare Informatics, this article is the first.