Open AccessModern principles of management of patient safety (systematic review)
Author(s) -
Yuriy Voskanyan
Publication year - 2018
Publication title -
sečenovskij vestnik
Language(s) - English
Resource type - Journals
eISSN - 2658-3348
pISSN - 2218-7332
DOI - 10.47093/2218-7332_2018.3.17-24
Subject(s) - harm , scope (computer science) , adverse effect , medline , medicine , medical emergency , patient safety , unintended consequences , risk analysis (engineering) , intensive care medicine , health care , psychology , computer science , political science , social psychology , law , programming language
The article analyzes the research works devoted to the study of principles of management of patient safety. Used medical databases MEDLINE, Cochrane Collaboration, EMBASE, SCOPE, ISI Web of Science for the period 1991-2017. In most studies a strict sequence of origin of the harm associated with healthcare management (adverse event or unintended injury), which is based on constant system of causes - latent threats, is shown. The development of an adverse event begins with the activation of the latent threat and turning it into an active threat of group 1 (dangerous situation), which is the cause of the active threats of group 2 (errors and failures). Active threats of group 2 lead to dangerous events (incidents), which are a potential or real cause of unintended injury. Latent and active threats exist on three levels - personnel, environment and patient. Management of latent threats at all levels is at the heart of patient safety, reducing the frequency and severity of unintended injury.