nexus/sreweekly/markdown/94/01-high-reliability-health-care-getting-there-from-here.md

High Reliability Health Care: Getting There from Here

• 期号: SRE Weekly Issue #94（2017-10-22）
• 作者: —
• 链接: https://www.jointcommission.org/assets/1/6/Chassin_and_Loeb_0913_final.pdf

简介

This article by the Joint Commission opened my eyes to just how far medicine in the US is from being a High Reliability Organization (HRO). It’s long, but I’m really glad I read it.

HROs recognize that the earliest indicators of threats to organizational performance typically appear in small changes in the organization’s operations.

[…] in several instances, particularly those involving the rapid identification and management of errors and unsafe conditions, it appears that today’s hospitals often exhibit the very opposite of high reliability.

正文

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