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【medical-news】外科医生是否该因动错手术部位受
A few weeks ago, a surgeon at Beth Israel Deaconess Medical Center operated on the wrong side of a patient. This is a grievous error, one of the so-called “never events” that’s just not supposed to happen anymore. It still does happen though, so what was perhaps most striking about this incident was the openness with which the hospital administration handled the whole thing.
As the Boston Globe reported, the hospital’s top brass sent an email to the entire staff disclosing the event, which occurred in an elective procedure from which the patient recovered without incident. And Paul Levy, the hospital’s CEO, has given the subject a thorough airing on his personal blog, Running a Hospital.
Yesterday, in his latest post on the subject, Levy took on a tricky question. Should the surgeon be punished for the error?
There was definitely a failure to follow protocol: The surgical team skipped the required “time out” before beginning surgery to confirm that it was the correct patient, the correct procedure and the correct part of the body.
The hospital’s trustees seemed to disagree on the subject of punishment. “Wouldn’t someone in another field be disciplined for an equivalent error?” one asked. Another said, “God has already taken care of the punishment.”
In this case, Levy decided not to punish the surgeon, who immediately reported the error to his chief and apologized to the patient. Most important, Levy argues, is that punishing the surgeon for disclosing the error would discourage the kind of openness that’s critical for hospitals to recognize and reduce errors in the long run.
“We should err on the side of encouraging disclosure and honesty about errors so we can properly do our job to re-design systems of care to reduce the chance of error,” he writes.
But that doesn’t mean punishment is out the window altogether. There “might be cases in the future that are remarkably similar to the one we just had where we as a management team decide that a punishment should be meted out,” Levy adds. “It is not clear to me that we can have exact rules, in advance, that would draw the distinction.” 本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。 认领~ 本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。 A few weeks ago, a surgeon at Beth Israel Deaconess Medical Center operated on the wrong side of a patient. This is a grievous error, one of the so-called “never events” that’s just not supposed to happen anymore. It still does happen though, so what was perhaps most striking about this incident was the openness with which the hospital administration handled the whole thing.
几周前，以色列贝司某医学中心的一名外科医生动错了手术部位。这是一个令人悲痛的错，也就是所谓的“决不该发生的事”，任何人极不希望发生。然而，它还是发生了，因此医院行政部门对整件事情公布令人震惊。
As the Boston Globe reported, the hospital’s top brass sent an email to the entire staff disclosing the event, which occurred in an elective procedure from which the patient recovered without incident. And Paul Levy, the hospital’s CEO, has given the subject a thorough airing on his personal blog, Running a Hospital.
根据波士顿世界报的报道，医院高层向全体员工发送邮件揭露了此事，它发生在一个可选择的程序上，病人恢复无意外。医院首席执行官，保罗利维将此事毫无保留的晒在博客上，题为医院运行。
Yesterday, in his latest post on the subject, Levy took on a tricky question. Should the surgeon be punished for the error?
昨天，在它最新的回复中，利维提出一个敏感的问题，外科医生是否应当为此受罚？
There was definitely a failure to follow protocol: The surgical team skipped the required “time out” before beginning surgery to confirm that it was the correct patient, the correct procedure and the correct part of the body.
根据草案，这是一个明确的失败 ：外科团队跳过了询问“时间节点”，在手术开始之前应当确认是否为正确的病人，正确的程序和正确的部位。
The hospital’s trustees seemed to disagree on the subject of punishment. “Wouldn’t someone in another field be disciplined for an equivalent error?” one asked. Another said, “God has already taken care of the punishment.”
医院的理事看来不是很同意惩罚“其它行业的人是否会受到惩罚呢，如果他们犯了相同意义的错？”也有人说：“上帝都原谅了”。
In this case, Levy decided not to punish the surgeon, who immediately reported the error to his chief and apologized to the patient. Most important, Levy argues, is that punishing the surgeon for disclosing the error would discourage the kind of openness that’s critical for hospitals to recognize and reduce errors in the long run.
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作者:admin@医学,生命科学 2011-06-27 05:20
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