Carroll V Susan
West Suburban College of Nursing, Oak Park, Illinois 60302, USA.
Qual Manag Health Care. 2005 Oct-Dec;14(4):229-33. doi: 10.1097/00019514-200510000-00009.
Over the course of the past several years, patient safety and the initiatives undertaken to assure it have become highly visible issues in health care delivery. Patient safety is now the focus of national regulatory agencies as well as local health care institutions. At both the national and local levels, significant resources are directed at achieving patient safety goals. As nurses strive to implement and comply with the regulatory directives regarding safe care, has the focus of nursing care shifted from quality nursing care, built on a foundation of caring, of recognizing and attending to a patient's individualized needs, to a base that equates "safe care" with "quality care?" Have safety and quality become synonymous? This shift may indeed be occurring; however, quality nursing care--no matter how safe it is--must include caring as a core value and highlight the integral human relationship between the nurse and the patient.
在过去几年中，患者安全以及为确保患者安全而采取的举措已成为医疗服务中备受瞩目的问题。患者安全如今是国家监管机构以及地方医疗机构关注的焦点。在国家和地方层面，都投入了大量资源以实现患者安全目标。当护士们努力实施并遵守有关安全护理的监管指令时，护理的重点是否已从基于关怀、认识并关注患者个性化需求的优质护理，转向将“安全护理”等同于“优质护理”的基础？安全与质量是否已成为同义词？这种转变可能确实正在发生；然而，优质护理——无论多么安全——都必须将关怀作为核心价值观，并突出护士与患者之间不可或缺的人际关系。
