tailieunhanh - Báo cáo y học: "Patient safety and acute care medicine: lessons for the future, insights from the past"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Patient safety and acute care medicine: lessons for the future, insights from the past. | Brindley Critical Care 2010 14 217 http content 14 2 217 CRITICAL CARE REVIEW L_ Patient safety and acute care medicine lessons for the future insights from the past Peter G Brindley This article is one of ten reviews selected from the Yearbook of Intensive Care and Emergency Medicine 2010 Springer Verlag and co-published as a series in Critical Care. Other articles in the series can be found online at http ccforum series yearbook. Further information about the Yearbook of Intensive Care and Emergency Medicine is available from http series 2855. Introduction All truth passes through three stages. First it is ridiculed. Second it is violently opposed. Third it is accepted as self-evident 1 Arthur Schopenhauer 1788-1860 It is estimated that approximately 40 000-100 000 Americans die annually from medical errors 2 . Thousands more suffer harm from medical errors. Still others are exposed to errors but are lucky enough to suffer no obvious harm 3 . In fact medical errors are now the eighth leading cause of death in the USA data are no less alarming from other nations 4 . Regardless of the exact figures it seems that patient safety is far from adequate. Crudely put if medicine were a patient we physicians would say it is time to admit there is a problem. We would expect urgent action and we would welcome any ideas rather than tolerate further delays. This chapter hopes to provide a call-to-arms but most importantly a range of ideas both new and old to achieve the sort of care that our patients deserve. The missing curriculum 3 Albert Einstein stated that you can never solve a problem by using the same thinking that created it 5 . As such the first step is to emphasize that medical errors are rarely merely negligence sloppiness incompetence or poor motivation. Instead we should accept that healthcare is amongst the world s most complex social systems 3 . Coupled with the complexity of medical diagnosis and the need to make decisions .