PDF(Pubmed)
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.
摘要：
本文探讨了“患者安全的时刻”-2000年左右的时期，当时患者安全成为英国国家卫生服务（NHS）的主要政策关注，和其他医疗保健系统。虽然医疗造成的伤害（医源性损伤）早已得到临床医生和科学家的认可，从2000年开始,NHS中出现了一种新的系统的患者安全语言,促进了对患者伤害的新型管理和监管方法.这种语言反映了国家在调节医疗保健方面的作用越来越大，以及医疗自主权的侵蚀和新的官僚管理形式的兴起。承认一个跨国公司，对患者安全的政策兴趣上升背后的知识背景——例如，工业安全科学见解的应用-本文考察了国内文化因素所起的作用，如医疗过失诉讼和医疗丑闻，帮助定义英国的新语言。
