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patient safety and acute care medicine lessons for the future, insights from the past患者安全为未来和急症护理医学课程,从过去的见解
Brindley Critical Care 2010, 14:217
/content/14/2/217
R E V I E W
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 /series/2855.
Introduction pressure and incomplete information, the shocking
patient safety fi gures make more sense. Perhaps the
“All truth passes through three stages. First it is ridiculed. complexity of the task ahead is also a little clearer.
Second it is violently opposed. Th ird it is accepted as self- h e slogan states “Safety is no accident” [3]; stated
evident.” [1] another way, errors in healthcare are rarely random,
Arthur Schopenhauer 1788–1860 unpredictable events. Some errors may ultimately be
rooted in our organizations and perpetuated by our
It is estimated that approximately 40,000–100,000 traditions. Like many complex systems, medicine has a
Americans die annually from medical errors [2]. double-headed Janus [6], where these traditions are both
h ousands more suff er harm from medical errors. Still
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