Structural and Organizational Issues in Patient Safety: A Comparison of Health Care to other High-Hazard Industries
基于高可靠性组织理论和正常事故理论，分析医疗行业在系统化实现高可靠性标准方面的不足，并与高危行业比较，对医疗管理者和安全研究者有参考价值。
A recent report from the Institute of Medicine has focused attention anew on the incidence of medical errors in the health care industry. While there is a relatively large body of research on how organizations can operate in a highly reliable manner, and thus avoid such errors, little of that work has been done in the health care field. This article discusses the ways in which the health care industry has failed to meet systematically the standards for achieving high reliability, based in part on two existing theories about the management of high-hazard environments-High Reliability Organization Theory (HROT) and Normal Accidents Theory (NAT).