Mize C P, Bentley G, Hubbard S
AACN Clin Issues Crit Care Nurs. 1991 Feb;2(1):63-8. doi: 10.4037/15597768-1991-1010.
Traditionally, standards are used to define the level of care that a patient can expect to receive in a given institution or on a given nursing unit. These standards are the foundation of quality assurance programs. Unfortunately, with the increased emphasis on monitoring care, many standards are being written after the quality assurance activities have been developed and are in place. Often, standards are placed neatly in a book that is dusted off and brought out when the Joint Commission for Accreditation of Healthcare Organizations representative (JCAHO) visits. The nursing staff at the unit level has no real knowledge or understanding of the standards. This may result in a nonfunctioning quality assurance program.
传统上，标准用于定义患者在特定机构或特定护理单元所能期望得到的护理水平。这些标准是质量保证计划的基础。不幸的是，随着对护理监测的日益重视，许多标准是在质量保证活动已经开展并到位之后才制定的。通常，标准被整齐地放在一本书里，当医疗组织认证联合委员会（JCAHO）的代表来访时，这本书才会被拿出来掸掸灰。科室层面的护理人员对这些标准并没有真正的了解。这可能导致质量保证计划无法发挥作用。
