PDF(Pubmed)
Abstract：
BACKGROUND: Creating safer care is a high priority across healthcare systems. Despite this, most systems tend to focus on mitigating past harm, not creating proactive solutions. Managers and staff identify safety threats often with little input from patients and their caregivers during their health encounters.
METHODS: This is a qualitative descriptive study utilizing focus groups and one-to-one interviews with patients and caregivers who were currently using (or had previously used) services in health systems across Canada. Data were analysed via inductive thematic analysis to understand existing and desired strategies to promote safer and better quality care from the perspectives of patients and caregivers.
RESULTS: In our analysis, we identified three key themes (safety strategies) from patients\' and caregivers\' perspectives and experiences: Using Tools and Approaches for Engaging Patients and Caregivers in their Care; Having Accountability Processes and Mechanisms for Safe Care; and Enabling Patients and Caregivers Access to Information.
CONCLUSIONS: Safety is more than the absence of harm. Our findings outline a number of suggestions from patients and caregivers on how to make care safer, ranging from being valued on teams, participating as members of quality improvement tables, having access to health information, having access to an advocate to help make sense of information and having processes in place for disclosure and closure. Future work can further refine, implement and evaluate these strategies in practice.
UNASSIGNED: An advisory group guided the research and was co-chaired by a patient partner. Members of the advisory group spanned patient and caregiver organizations and health sectors across Canada and included three patient partners and leaders who work closely with patients and caregivers in their day-to-day work. In the research itself, we engaged 28 patients and caregivers from across Canada to learn about their safety experiences and learn what safer care looks like from their perspectives.
METHODS: This is a qualitative descriptive study utilizing focus groups and one-to-one interviews with patients and caregivers who were currently using (or had previously used) services in health systems across Canada. Data were analysed via inductive thematic analysis to understand existing and desired strategies to promote safer and better quality care from the perspectives of patients and caregivers.
RESULTS: In our analysis, we identified three key themes (safety strategies) from patients\' and caregivers\' perspectives and experiences: Using Tools and Approaches for Engaging Patients and Caregivers in their Care; Having Accountability Processes and Mechanisms for Safe Care; and Enabling Patients and Caregivers Access to Information.
CONCLUSIONS: Safety is more than the absence of harm. Our findings outline a number of suggestions from patients and caregivers on how to make care safer, ranging from being valued on teams, participating as members of quality improvement tables, having access to health information, having access to an advocate to help make sense of information and having processes in place for disclosure and closure. Future work can further refine, implement and evaluate these strategies in practice.
UNASSIGNED: An advisory group guided the research and was co-chaired by a patient partner. Members of the advisory group spanned patient and caregiver organizations and health sectors across Canada and included three patient partners and leaders who work closely with patients and caregivers in their day-to-day work. In the research itself, we engaged 28 patients and caregivers from across Canada to learn about their safety experiences and learn what safer care looks like from their perspectives.
摘要：
背景：创建更安全的护理是整个医疗保健系统的重中之重。尽管如此,大多数系统倾向于专注于减轻过去的伤害，不创建主动解决方案。管理人员和工作人员在健康遭遇期间通常很少有患者及其护理人员的投入来识别安全威胁。
方法：这是一项定性的描述性研究，利用焦点小组和对目前在加拿大卫生系统中使用（或以前使用过）服务的患者和护理人员的一对一访谈。通过归纳主题分析对数据进行分析，以了解现有和期望的策略，以从患者和护理人员的角度促进更安全和更高质量的护理。
结果：在我们的分析中，我们从患者和护理人员的角度和经验中确定了三个关键主题(安全策略):使用工具和方法让患者和护理人员参与他们的护理;拥有安全护理的责任流程和机制;以及使患者和护理人员能够获取信息.
结论：安全性不仅仅是没有伤害。我们的发现概述了患者和护理人员关于如何使护理更安全的一些建议，从对团队的重视，作为质量改进表的成员参与，获得健康信息，能够接触到倡导者来帮助理解信息，并有适当的披露和关闭程序。今后的工作可以进一步细化,在实践中实施和评估这些策略。
■一个咨询小组指导了这项研究，并由一名患者伴侣共同主持。咨询小组的成员遍布加拿大各地的患者和护理人员组织以及卫生部门，其中包括三名患者合作伙伴和领导者，他们在日常工作中与患者和护理人员密切合作。在研究本身，我们聘请了来自加拿大各地的28名患者和护理人员，以了解他们的安全经验，并从他们的角度了解更安全的护理是什么样子。
方法：这是一项定性的描述性研究，利用焦点小组和对目前在加拿大卫生系统中使用（或以前使用过）服务的患者和护理人员的一对一访谈。通过归纳主题分析对数据进行分析，以了解现有和期望的策略，以从患者和护理人员的角度促进更安全和更高质量的护理。
结果：在我们的分析中，我们从患者和护理人员的角度和经验中确定了三个关键主题(安全策略):使用工具和方法让患者和护理人员参与他们的护理;拥有安全护理的责任流程和机制;以及使患者和护理人员能够获取信息.
结论：安全性不仅仅是没有伤害。我们的发现概述了患者和护理人员关于如何使护理更安全的一些建议，从对团队的重视，作为质量改进表的成员参与，获得健康信息，能够接触到倡导者来帮助理解信息，并有适当的披露和关闭程序。今后的工作可以进一步细化,在实践中实施和评估这些策略。
■一个咨询小组指导了这项研究，并由一名患者伴侣共同主持。咨询小组的成员遍布加拿大各地的患者和护理人员组织以及卫生部门，其中包括三名患者合作伙伴和领导者，他们在日常工作中与患者和护理人员密切合作。在研究本身，我们聘请了来自加拿大各地的28名患者和护理人员，以了解他们的安全经验，并从他们的角度了解更安全的护理是什么样子。
