Bonner Alice F, Castle Nicholas G, Perera Subashan, Handler Steven M
Dr. Bonner is at the University of Massachusetts Graduate School of Nursing, Worcester; Dr. Castle is at the Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh; Dr. Perera is in the Division of Geriatric Medicine, Department of Medicine, and at the Department of Biostatistics, School of Medicine, University of Pittsburgh; and Dr. Handler is in the Division of Geriatric Medicine, Department of Medicine, and at the Department of Biomedical Informatics, School of Medicine, University of Pittsburgh.
Ann Longterm Care. 2008 Mar;16(3):18-22.
Patient safety culture (PSC) is a critical factor in creating high-reliability health-care organizations. Most PSC research studies to date have been conducted in acute care settings; however, nursing home studies have recently begun to appear in the literature. Nursing homes differ from hospitals in a number of ways, including the population they serve, the medical model of care, and having the vast majority of direct care provided by non-licensed certified nursing assistants. Research has shown that nursing home PSC differs in important ways from PSC in acute care institutions. Recent PSC studies conducted in nursing homes and related quality and safety research can guide recommendations for nursing homes wishing to evaluate their own PSC. Relationships between PSC measurement, quality improvement, and workforce issues are potentially important and may influence clinical outcomes.
患者安全文化（PSC）是创建高可靠性医疗保健组织的关键因素。迄今为止，大多数PSC研究都是在急性护理环境中进行的；然而，最近养老院研究开始出现在文献中。养老院在许多方面与医院不同，包括其服务的人群、护理的医疗模式，以及绝大多数直接护理由无执照的注册护理助理提供。研究表明，养老院的PSC在重要方面与急性护理机构的PSC不同。最近在养老院进行的PSC研究以及相关的质量和安全研究可以为希望评估自身PSC的养老院提供建议。PSC测量、质量改进和劳动力问题之间的关系可能很重要，并且可能影响临床结果。
