2015, Number 1
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Revista Cubana de Anestesiología y Reanimación 2015; 14 (1)
Ensuring patient safety is a priority today
Soler MC
Language: Spanish
References: 14
Page: 44-49
PDF size: 75.54 Kb.
ABSTRACT
Decision making is always a complex process. Even if we are prepared with the clinical method and having the experience and support from more experienced
colleagues, uncertainty is always present. Current medicine demands from
healthcare professionals not only updated knowledge but also clinical experience to
interpret and identify the patient, to integrate the best evidence when making
decisions.
The objective was to perform an update on how to ensure patient safety in the
context of critically ill patients. Patient safety remains a common element, the
notion of reducing to an acceptable minimum the risk involved in health care, that
is to say, to provide safer care to patients. The key actions in this regard include
identification, action to take and risk assessment, reporting and analysis of critical
incidents as well as the ability to learn from them and solution implementing to
minimize risks and prevent their recurrence. It should be noticed that incident
causes are not only related to human factors but inextricably related to the system
in which the individual works. Observing what is wrong with the system allows
learning the lessons which will prevent the recurrence of incidents. The inclusion of
patient safety on the managers´ agenda in a flexible organization will certainly lead
to progressive improvement of systems resulting in excellence care which is the
sought goal to benefit people health.
REFERENCES
Roca Marsinyach F. Evidencias para los litigios. En línea. [Consultado: Enero 9, 2012]. Disponible en: http://www.la-plaza.com/vdc/revisiones/evid para_litig.html.
Bravo Toledo R. Medicina basada en pruebas (Evidence-based Medicine. JANO (EMC). 1997:53(1218). En línea. [Consultado: Enero 9, 2012]. Disponible en: http://www.infodoctor.org/rafabravo/mbe2.htm
Croskerry Pat. From Mindless to Mindful Practice — Cognitive Bias and Clinical Decision Making. N Engl J Med. 2013; 368:2445-244.
IAMBE - Instituto Argentino de Medicina Basada en Evidencias. En pos de una modalidad moderna en la asistencia médica: Medicina Basada en evidencias. En línea. [Consultado: Enero 9, 2012]. Disponible en: http://www.iambe.org.ar/que_es_mbe.htm
Lede R, Abriata G, Copertari P. La medicina basada en evidencias: un movimiento cultural a favor de una mejor asistencia médica. En línea. [Consultado: Enero 9, 2012]. Disponible en: http://www.ama-med.com/documento_4.htm
Seven steps to patient safety. The full reference guide. National Patient Safety Agency, UK. En línea. [Consultado: Enero 9, 2012]. Disponible en: http://www.npsa.nhs.uk/sevensteps
WHO. Patient safety. En línea. [Consultado: Enero 9, 2012]. Disponible en: http://www.who.int/patientsafety
Kohn LT, Corrigan JM, Donaldson MS (eds). To err is human: building a safer health system. National Academy Press, Washington DC. 2009.
Leape Lucian L. Making Health Care Safe: Are We Up to it? J Pediatric Surgery. 2004;39(3):258-66.
AHRQ. Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. [Consultado: Enero 9, 2012]. Disponible en: http://www.ahrq.gov/research/findings/evidence-based-reports/ ptsafetyuptp.html
Reason J. Human error: models and management. BMJ. 2000;320(7237);768-70.
National Quality Forum. Safe Practices for Better Healthcare: 2010 Update. [Consultado: Enero 11, 2011]. Disponible en: http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_ Healthcare_%E2%80%93_2010_Update.aspx
Leape LL, Cullen DJ, Clapp MD. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. JAMA. 1999;282(3):267-70.
AHRQ. Medical Errors: The Scoop of the problem. Agency for Health Research and Quality. Estados Unidos de Norteamérica.[Consultado: Enero 9, 2012]. Disponible en: http://www.ahrq.gov/qual/errback.htm.