Identifying and Using Tools for Reducing Risks to Patients and Health Care Workers: A Nursing Perspective

Mary E. Foley MS, RN (President), David Keepnews JD, MPH, RN (Formerly Assistant Professor), Karen Worthington MS, RN (Occupational Safety and Health Specialist)
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引用次数: 7

Abstract

Background

Research efforts and policy initiatives in health care errors and injury to health care workers have attracted increasing attention in recent years. An emerging theme in both these areas is the importance of organizational and other systems factors in the occurrence of medical error and health care worker injury. These commonalities call for the identification of common research efforts and, when appropriate, policy efforts.

Moving from hypothesis to conclusion

The proposition that health care error and worker injury are linked to the same organizational variables requires further research and deserves the same type of human factors approach that has characterized much of the investigative efforts that have occurred in the patient safety arena during the past decade. Serious problems exist with respect to access to data on staffing levels, skill mix, consecutive work hours, and other information that is crucial to examining the link between practice conditions, health care error, and health care worker injury.

Human factors

One important resource in identifying effective approaches to prevent error and health care worker injury is the field of human factors, the discipline concerned with the design of tools, machines, and systems that takes into account human capabilities, limitations, and characteristics.

Conclusion

The potential benefits of linking patient safety and health care worker safety efforts are significant. The research, experience, and successful practices from multiple disciplines must be utilized in identifying areas of common interest and concern in advancing work in both of these important areas.

识别和使用工具,以减少对患者和卫生保健工作者的风险:护理的角度
近年来,卫生保健差错和卫生保健工作者伤害的研究工作和政策举措引起了越来越多的关注。这两个领域的一个新兴主题是组织和其他系统因素在医疗差错和卫生保健工作者伤害发生中的重要性。这些共性要求确定共同的研究努力,并在适当时确定政策努力。医疗差错和工伤与相同的组织变量有关,这一命题需要进一步研究,并且应该采用与过去十年中在患者安全领域开展的许多调查工作相同类型的人为因素方法。在获取有关人员配备水平、技能组合、连续工作时间和其他信息的数据方面存在严重问题,这些信息对于审查执业条件、卫生保健差错和卫生保健工作者受伤之间的联系至关重要。人为因素确定有效预防错误和卫生保健工作者伤害的方法的一个重要资源是人为因素领域,这是一门考虑到人的能力、局限性和特点的工具、机器和系统设计的学科。结论将患者安全和医护人员安全工作结合起来的潜在效益是显著的。必须利用来自多个学科的研究、经验和成功实践来确定共同感兴趣和关注的领域,以推进这两个重要领域的工作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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