新加坡公立医院外科患者安全管理经验与启示

Surgical patient safety: experience and inspiration from Singapore public hospitals

患者安全管理是健全医疗体系的重要组成部分。通过各方面的质量改进项目,可解决或减少医疗过程中可能对患者造成不良影响的事件或风险。作者从医院管理、患者沟通和临床规范等方面,介绍了新加坡公立医院外科在患者安全管理上的先进经验,其在医院管理中用明确的等级分工协作及现代信息技术来减少人为失误;以患者为中心进行标准化的病情沟通,尊重患者的自主权;用临床规范实现"同病同治"和"重疾优先",在优化医疗资源分配的同时保证医疗质量。这些对我国的患者安全管理有很强的启示作用。

Patient safety is an integral part of a successful health care system. It addresses and reduces risks and incidents that may negatively impact patients through implementation of improvement projects in various aspects. We discussed proven experiences in surgical patient safety management in Singapore public hospitals, with focus on hospital leadership and management, patient consultation and adoption of clinical protocols. Hierarchy and teamwork were used together with modern information technologies to reduce human errors. During patient consultation, standard informed consent acquisition process was advocated with full respect for patient′s right of decision making. Limited medical resources and manpower were assigned by careful triage and meticulous clinical protocols, which can ensure quality of surgical care. These experiences are inspirational for improving surgical patient safety in China.