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Risking safety or safely risking? Healthcare professionals' understanding of risk-taking in everyday work

机译:冒着安全风险或安全风险?医护人员对日常工作中承担风险的理解

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Current patient safety orthodoxy in the United Kingdom and beyond has tended to treat risk as something that should be assessed and estimated quantitatively. While this offers benefits to research and practice, there are added benefits from paying closer scrutiny to the underlying causes that influence such adverse events in healthcare. In this article, risk is seen as something subjective, or rather as part of the “lived experiences” of healthcare professionals. Results from this study indicate that the vast majority of healthcare professionals we interviewed understand risk as something intrinsic to healthcare; another variable one needs to prepare for. Risks were generally described in terms of acceptable versus unacceptable and avoidable versus unavoidable. In terms of identifying and dealing with risk, we found indications that the decision-making processes healthcare professionals use vary according to their training and experience. We suggest that the further examination of the apparent differences that exist in the perceptual awareness of risk can advance our knowledge on the possible impact they could have upon patient safety in the wider spectrum.View full textDownload full textKeywordspatient safety, risk, teamwork, communication, workplaceRelated var addthis_config = { ui_cobrand: "Taylor & Francis Online", services_compact: "citeulike,netvibes,twitter,technorati,delicious,linkedin,facebook,stumbleupon,digg,google,more", pubid: "ra-4dff56cd6bb1830b" }; Add to shortlist Link Permalink http://dx.doi.org/10.1080/13548506.2010.521566
机译:英国及其他地区当前的患者安全正统观念倾向于将风险视为应定量评估和估计的风险。尽管这为研究和实践带来了好处,但通过对影响医疗保健中此类不良事件的根本原因进行更严格的审查,可以带来更多的好处。在本文中,风险被视为主观的东西,或者被视为医疗保健专业人员的“鲜活经验”的一部分。这项研究的结果表明,我们采访的绝大多数医疗保健专业人员都将风险理解为医疗保健的固有内容;需要准备的另一个变量。一般以可接受与不可接受以及可避免与不可避免的方式来描述风险。在识别和处理风险方面,我们发现有迹象表明医疗保健专业人员使用的决策过程会根据他们的培训和经验而有所不同。我们建议,进一步检查风险感知方面存在的明显差异,可以使我们进一步了解它们可能对更广泛范围内的患者安全产生的影响。查看全文下载全文关键字患者安全,风险,团队合作,沟通, WorkshopRelated var addthis_config = {ui_cobrand:“泰勒和弗朗西斯在线”,servicescompact:“ citeulike,netvibes,twitter,technorati,delicious,linkedin,facebook,stumbleupon,digg,google,更多”,发布号:“ ra-4dff56cd6bb1830b”};添加到候选列表链接永久链接http://dx.doi.org/10.1080/13548506.2010.521566

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