Alta confiabilidad: organización activa en #SegPac para su mejora – BMJ

Re-examining high reliability: actively organising for safety

 n the 15 years since To Err is Human was published,1 the US healthcare industry has worked diligently to improve patient safety. Although progress has been made in reducing hospital-acquired conditions2 and, in some cases, rates of surgical mortality,3healthcare has not achieved broad reductions for most patient harms. In recent years, healthcare has borrowed ideas from industries that have strong safety records, including teamwork and error reporting from aviation, and process improvement techniques from manufacturing. Healthcare’s latest patient safety push is to encourage hospitals to become a ‘high reliability organisation’ (HRO).4
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