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[20111221. Root cause analysis (2): Quality is safety]

ÀÇ·áÀÇ ÁúÀº ¹«¾ùÀϱî¿ä? ÃÖ÷´Ü ½Ã¼ú·Î Ä¡·áÇÏÁö ¸øÇß´ø Áúº´À» Á¤º¹ÇÏ´Â °ÍÀϱî¿ä? Àß ¾Ë·ÁÁø Ä¡·á¹ýÀ» È¿°úÀûÀ¸·Î Àû¿ëÇÏ¿© ȯÀÚÀÇ »ýÁ¸À» ¿¬Àå½ÃÅ°´Â °ÍÀϱî¿ä?

"To Err is Human" º¸°í¼­¸¦ ³Â´ø IOMÀÇ ´ÙÀ½ º¸°í¼­ÀÎ "Crossing the Quality Chasm"¿¡¼­´Â ÀÇ·áÀÇ ÁúÀ» ¾Æ·¡ 6°¡Áö·Î Á¤ÀÇÇÏ°í ÀÖ½À´Ï´Ù.

1. Safety

2. Effectiveness

3. Patient centeredness

4. Efficiency

5. Timeliness

6. Equitable - ÀÌ ´Ü¾î´Â Á¶±Ý ¾î·Á¿îµ¥¿ä... fair Á¤µµ·Î »ý°¢ÇϽñ⠹ٶø´Ï´Ù.

Áï safety¸¦ qualityÀÇ Á¦ 1 ´ö¸ñÀ¸·Î »ï°íÀÖ´Â °ÍÀÔ´Ï´Ù. È÷Æ÷Å©¶óÅ×½ºµµ ÀÇ»çÀÇ Á¦ 1 ´ö¸ñÀ» "do no harm"À̶ó°í ¸»ÇÑ ¹Ù ÀÖ½À´Ï´Ù. ÷´ÜÁø·áµµ Áß¿äÇÏÁö¸¸ ¾ÈÀüÇÑ Áø·á°¡ ±âº»ÀÔ´Ï´Ù. ÇöÀç °¢ º´¿ø QAÆÀ(=QIÆÀ=CQIÆÀ=QPSÆÀ=Áø·á°³¼±ÆÀ)ÀÇ ÁÖµÈ ¿ªÇÒ°ú Ã¥ÀÓ(role and responsibility, R & R)Àº ÀÇ·áÀÇ Áú°ú ȯÀÚ¾ÈÀü(quality and patient safety)ÀÔ´Ï´Ù. »ç½Ç ¸Å¿ì ºñ½ÁÇÑ ¸»ÀÔ´Ï´Ù.

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