의료의 질 향상 및 환자안전을 위한 제도 도입에 관한 고찰
A Study of Enacting the Patient Safety and Quality Improvement Act
0
조회
0
다운로드
7
인용
0
참고문헌
키워드
초록
The landmark report “To Err is Human”, by the Institute of Medicine in 1999, cited studies that found that at least 44,000 people and potentially as many as 98,000 people die in United States hospitals each year as a result of preventable medical errors. So, medical errors were a big issue in U.S. And U.S. Congress make the legal system for preventing medical errors. The medical mistakes can be prevented by designing and utilizing the medical errors database system through reporting adverse events. But medical providers are reluctant to report their adverse events and participate in quality review activities for fear of liability or injury to their reputations. This problem can cause to prevent the accumulation of a sufficient number of adverse events. But if medical providers have the privilege of exemption from liability when they report their adverse events on the Patient Safety and Quality Improvement Act, report system for the medical errors database system may operate properly. Through a comparative study on the Patient Safety and Quality Improvement Act of foreign countries, we can draw implications for enacting the Patient Safety and Quality Improvement Act in Korea.
Abstract
The landmark report “To Err is Human”, by the Institute of Medicine in 1999, cited studies that found that at least 44,000 people and potentially as many as 98,000 people die in United States hospitals each year as a result of preventable medical errors. So, medical errors were a big issue in U.S. And U.S. Congress make the legal system for preventing medical errors. The medical mistakes can be prevented by designing and utilizing the medical errors database system through reporting adverse events. But medical providers are reluctant to report their adverse events and participate in quality review activities for fear of liability or injury to their reputations. This problem can cause to prevent the accumulation of a sufficient number of adverse events. But if medical providers have the privilege of exemption from liability when they report their adverse events on the Patient Safety and Quality Improvement Act, report system for the medical errors database system may operate properly. Through a comparative study on the Patient Safety and Quality Improvement Act of foreign countries, we can draw implications for enacting the Patient Safety and Quality Improvement Act in Korea.
참고문헌 (21)
- 강민아, "환자안전 문화와 의료과오 보고에 대한 의사의 인식과 태도", 보건행정학회지, 15(4), pp.110~135 (2005), 한국보건행정학회
- 김미란, "환자안전(patient safety) 개념분석", Journal of Korean Academy of Nursing, 41(1), pp.1~8 (2011), 한국간호과학회
- 강민아, "환자안전 문화와 의료과오 보고에 대한 의사의 인식과 태도", 보건행정학회지, 15(4), pp.110~135 (2005), 한국보건행정학회
- 임영덕, "인터넷상 시민기자의 취재원묵비권에 대한 고찰", 성균관법학, 22(3), pp.489~518 (2010), 법학연구소
- 古場裕司, "米国における医療安全・質向上のための法システム －情報収集，行政処分，安全・質評価の観点から-", 社会技術研究論文集, 2 (2004), 社会技術研究会
- Corianne Iacovelli, "PATIENT SAFETY AND QUALITY IMPROVEMENT ACT", DEC Md. B.J, 42, pp.58~ (2009)
- Downie J, "Patient Safety Law: From Silos to Systems" (2006), Health Policy Research Program, Health Canada
- Linda T. Kohn, "To Err is Human: Building a Safer Health System" (2000), Institute of Medicine(IOM)
- "공익재단법인 일본의료기능평가기구, 의료정보수집사업의 개요"[URL]
- "공익재단법인 일본의료기능평가기구"[URL]
- "덴마크 환자안전법(Act on Patient Safety in the Danish Health Care System)"[URL]
- "독일 환자안전을 위한 연합(Aktionsbündnis Patientensicherheit; APS)"[URL]
- "영국 국립보건국의 국립환자안전실(NHS National Patient Safety Agency)"[URL]
- "영국 의료사고보고 및 학습체계(the National Reporting and Learning System (NRLS))의 프라이버스 정책"[URL]
- "의료안전지원종합지원사업", 일본 의료안전지원센터[URL]
- "의료안전대책 의료의 안전확보와 질의 향상을 목표로 하여", 일본 후생노동성[URL]
- "의료사고정보수집사업", 일본 후생노동성[URL]
- "National Patient Safety Foundation, Our Definitions.(n.d.). Patient safety" (2003)[URL]
- "U.S. Department of Health & Human Services, Patient Safety and Quality Improvement Act of 2005 Statute and Rule"[URL]
- "U.S. Department of Health & Human Services, Understanding Patient Safety Confidentiality"[URL]
- "World Health Organization, The Conceptual Framework for the International Classification for Patient Safety (v.1.1) - Final Technical Report and Technical Annexes" (2009)[URL]