Does larger really mean safer? (Comment on Gaal, S. et al., 2010, Patient safety features are more present in larger primary care practices, Health Policy, 97:87-91).

摘要

General practices increasingly comprise more General Practitioners (GPs) per practice than ever before. Additionally, GPs are located more often with clinicians of other disciplines. Gaal et al.'s findings that where there are more than two GPs, there is better safety management are probably not that surprising [1], It makes sense that larger numbers of staff mean tasks can be better shared. Kohn et al. identified that small staff size in health care organisations amongst other factors may contribute to a lack of attention to safety. They argued that people make fewer errors when they work in teams [2],