University of Illinios at Chicago, School of Public Health, 1603 W. Taylor Street (MC 923), Chicago, IL 60612, USA.
Nurs Outlook. 2010 Sep-Oct;58(5):226-32. doi: 10.1016/j.outlook.2010.06.001.
Patient safety, a cornerstone of quality nursing care in most healthcare organizations, has not received attention in the specialty of public health nursing, owing to the conceptual challenges of applying this individual level concept to populations. Public health nurses (PHNs), by definition, provide population-focused care. Safe practice of population-focused nursing care involves preventing errors that would affect the health of entire populations and communities. The purpose of this article is to conceptually develop the public health nursing concept of safe practice of population-focused care and calls for related research. Key literature on patient safety is reviewed. Concepts applying to population-focused care are organized based on Donabedian's Framework. Structural, operational and system failures and process errors of omission and commission can occur at the population level of practice and potentially influence outcomes for population-patients. Practice, research and policy implications are discussed. Safe PHN population-focused practice deserves attention.
患者安全是大多数医疗机构护理质量的基石，但由于将这一个体层面的概念应用于人群存在概念上的挑战，因此在公共卫生护理专业领域并未得到重视。公共卫生护士（PHN）的定义就是提供以人群为中心的护理。安全实施以人群为中心的护理实践涉及预防会影响整个人群和社区健康的错误。本文旨在从概念上发展公共卫生护理安全实施以人群为中心的护理的概念，并呼吁开展相关研究。本文回顾了关于患者安全的主要文献。根据 Donabedian 框架，将适用于以人群为中心的护理的概念进行了分类。结构、操作和系统故障以及疏忽和渎职的过程错误可能发生在实践的人群层面，并可能影响人群患者的结果。讨论了实践、研究和政策的影响。安全的 PHN 以人群为中心的实践值得关注。
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