2024年4月23日发(作者：)

理解人为差错实战指南评价

English Answer:

Introduction:

The Human Error Field Guide (HEFG) is a framework

developed by the Joint Commission to help organizations

understand and prevent human errors in healthcare. The HEFG

provides a structured approach to identifying and

mitigating human error risks, and it has been adopted by

numerous healthcare organizations around the world.

Key Components of the HEFG:

The HEFG consists of several key components, including:

A taxonomy of human errors: The HEFG classifies human

errors into four main types: slips, lapses, mistakes, and

violations.

A model of human error causation: The HEFG proposes a

model of human error causation that includes both cognitive

and social factors.

A set of tools and techniques for identifying and

preventing human errors: The HEFG provides a range of tools

and techniques that organizations can use to identify and

mitigate human error risks.

Evaluation of the HEFG:

The HEFG has been evaluated in a number of studies, and

the results have been generally positive. Studies have

found that the HEFG can help organizations to:

Identify human error risks: The HEFG provides a

structured approach to identifying human error risks, which

can help organizations to prioritize their efforts to

prevent human errors.

Mitigate human error risks: The HEFG provides a range

of tools and techniques that organizations can use to

mitigate human error risks, such as checklists, training,

and process redesign.

Reduce the incidence of human errors: Studies have

found that organizations that implement the HEFG can reduce

the incidence of human errors by up to 50%.

Conclusion:

The Human Error Field Guide is a valuable resource for

organizations that want to prevent human errors in

healthcare. The HEFG provides a structured approach to

identifying and mitigating human error risks, and it has

been shown to be effective in reducing the incidence of

human errors.

中文回答：

引言：

人为差错实战指南（HEFG）是由医疗保健联合委员会开发的一

项框架，旨在帮助组织了解并预防医疗保健领域的人为差错。HEFG

提供了一种识别和减轻人为差错风险的结构化方法，已被全球众多

医疗保健组织采用。

HEFG 的关键组成部分：

HEFG 由几个关键组成部分组成，包括：

人为差错分类法， HEFG 将人为差错分类为四种主要类型，失

误、遗漏、错误和违规。

人为差错成因模型， HEFG 提出了一种人为差错成因模型，包

括认知因素和社会因素。

识别和预防人为差错的一套工具和技术， HEFG 提供了一系列

工具和技术，供组织识别和减轻人为差错风险。

HEFG 的评估：

HEFG 已在多项研究中得到评估，结果普遍积极。研究发现

HEFG 可以帮助组织：

识别人为差错风险， HEFG 提供了识别人为差错风险的结构化

方法，这可以帮助组织优先考虑其预防人为差错的努力。

减轻人为差错风险， HEFG 提供了一系列工具和技术，供组织

用于减轻人为差错风险，例如清单、培训和流程重新设计。

降低人为差错发生率， 研究发现，实施 HEFG 的组织可以将

人为差错发生率降低高达 50%。

结论：

人为差错实战指南是希望预防医疗保健领域人为差错的组织的

宝贵资源。HEFG 提供了一种识别和减轻人为差错风险的结构化方法，

并且已证明其在降低人为差错发生率方面是有效的。