The Moment of Patient Safety: Iatrogenic Injury, Clinical Error and Cultures of Healthcare in the NHS.

IF 0.6 2区 哲学 Q1 HISTORY Social History of Medicine Pub Date : 2024-03-12 eCollection Date: 2024-02-01 DOI:10.1093/shm/hkad089
Christopher Sirrs
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Abstract

This article explores the 'the moment of patient safety'-the period around 2000 when patient safety became a key policy concern of the British National Health Service (NHS), and other healthcare systems. While harm caused by medical care (iatrogenic injury) had long been acknowledged by clinicians and scientists, from 2000 a new systemic language of patient safety emerged in the NHS that promoted novel managerial and regulatory approaches to patient harm. This language reflected the state's increasing role in regulating healthcare, as well as the erosion of medical autonomy and the rise of new forms of bureaucratic management. Acknowledging a transnational, intellectual context behind the rise of policy interest in patient safety-for example, the application of insights from the industrial safety sciences-this article examines the role played by domestic cultural factors, such as medical negligence litigation and healthcare scandals, in helping to define the new language in Britain.

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患者安全的时刻:国家医疗服务体系中的先天性损伤、临床错误和医疗文化。
这篇文章探讨了 "患者安全时刻"--2000 年前后,患者安全成为英国国家医疗服务系统(NHS)和其他医疗系统的主要政策关注点。虽然医疗护理造成的伤害(先天性损伤)早已得到临床医生和科学家的认可,但从 2000 年开始,英国国家医疗服务系统(NHS)中出现了一种新的患者安全系统语言,提倡以新颖的管理和监管方法来应对患者伤害。这种语言反映了国家在医疗监管中日益重要的作用,以及医疗自主权的削弱和新型官僚管理的兴起。本文认识到患者安全政策兴趣兴起背后的跨国知识背景--例如,工业安全科学见解的应用--研究了国内文化因素(如医疗过失诉讼和医疗丑闻)在帮助英国定义新语言方面所发挥的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Social History of Medicine
Social History of Medicine 社会科学-科学史与科学哲学
CiteScore
1.60
自引率
0.00%
发文量
63
审稿时长
>12 weeks
期刊介绍: Social History of Medicine , the journal of the Society for the Social History of Medicine, is concerned with all aspects of health, illness, and medical treatment in the past. It is committed to publishing work on the social history of medicine from a variety of disciplines. The journal offers its readers substantive and lively articles on a variety of themes, critical assessments of archives and sources, conference reports, up-to-date information on research in progress, a discussion point on topics of current controversy and concern, review articles, and wide-ranging book reviews.
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