University of Technology Sydney, Centre for Health Communication, Broadway NSM 2007, Sydney, Australia.
Soc Sci Med. 2009 Dec;69(12):1701-4. doi: 10.1016/j.socscimed.2009.09.050. Epub 2009 Oct 23.
This article presents an overview of contemporary research into patient safety. The article suggests that patient safety research to date has tended to privilege the formal and structural dimensions of safety at the expense of the social and affective dimensions of safety. The article previews the research articles brought together in this special issue of Social Science & Medicine, paying particular attention to the impact of these studies on the field of patient safety research generally. The present article summarises this impact in the form of the following three patient safety research principles. First, to account for whether and how safe and improvement-oriented practice is achieved, research must engage with both the predictability and the complexity of the sites and processes it seeks to describe, explain and/or impact on. Second, engaging with complexity implicates researchers in experiencing it, and this implicates the research process and its methodology in a process of sense-making of the practical and affective consequences for and with practitioners inhabiting and enacting that complexity. Third, besides numerically-based descriptions, abstracted explanations and procedural prescriptions, patient safety research evidence must encompass experiential data, collaboratively-produced accounts and/or experience-based designs.
本文概述了当代患者安全研究。文章认为，迄今为止的患者安全研究往往偏向于安全的正式和结构维度，而牺牲了安全的社会和情感维度。本文预览了汇集在《社会科学与医学》这一期特刊中的研究文章，特别关注这些研究对患者安全研究领域的一般影响。本文以以下三个患者安全研究原则的形式总结了这种影响。首先，为了说明安全和改进导向的实践是否以及如何实现，研究必须既考虑到其试图描述、解释和/或影响的地点和过程的可预测性，又要考虑到其复杂性。其次，参与复杂性意味着研究人员要体验它，这意味着研究过程及其方法论要在对实际和情感后果的意义构建过程中，与居住和实施该复杂性的实践者一起。第三，除了基于数值的描述、抽象的解释和程序性的规定外，患者安全研究证据还必须包括经验数据、合作产生的描述和/或基于经验的设计。
