School of Nursing, Queen's University, Kingston, Ontario, Canada.
Worldviews Evid Based Nurs. 2012 Feb;9(1):49-58. doi: 10.1111/j.1741-6787.2011.00231.x. Epub 2011 Dec 9.
Over the past decade, the need for healthcare delivery systems to identify and address patient safety issues has been propelled to the forefront. A Canadian survey, for example, demonstrated patient safety to be a major concern of frontline nurses (Nicklin & McVeety 2002). Three crucial patient safety elements, current knowledge, resources, and context of care have been identified by the World Health Organization (WHO 2009). To develop strategies to respond to the scope and mandate of the WHO report within the Canadian context, a pan-Canadian academic-policy partnership has been established.
This newly formed Pan-Canadian Partnership, the Queen's Joanna Briggs Collaboration for Patient Safety (referred throughout as "QJBC" or "the Partnership"), includes the Queen's University School of Nursing, Accreditation Canada, the Canadian Patient Safety Institute (CPSI), the Canadian Institutes of Health Research, and is supported by an active and committed advisory council representing over 10 national organizations representing all sectors of the health continuum, including patients/families advocacy groups, professional associations, and other bodies. This unique partnership is designed to provide timely, focused support from academia to the front line of patient safety. QJBC has adopted an "integrated knowledge translation" approach to identify and respond to patient safety priorities and to ensure active engagement with stakeholders in producing and using available knowledge. Synthesis of evidence and guideline adaptation methodologies are employed to access quantitative and qualitative evidence relevant to pertinent patient safety questions and subsequently, to respond to issues of feasibility, meaningfulness, appropriateness/acceptability, and effectiveness.
This paper describes the conceptual grounding of the Partnership, its proposed methods, and its plan for action. It is hoped that our journey may provide some guidance to others as they develop patient safety models within their own arenas.
在过去的十年中,医疗保健系统识别和解决患者安全问题的需求已成为当务之急。例如,加拿大的一项调查表明,患者安全是一线护士的主要关注点(Nicklin 和 McVeety,2002 年)。世界卫生组织(2009 年)确定了三个关键的患者安全要素:当前知识、资源和护理环境。为了制定应对世界卫生组织报告的范围和任务的策略,在加拿大范围内建立了一个全加学术-政策伙伴关系。
这个新成立的全加伙伴关系,即皇后大学乔安娜·布里格斯患者安全合作组织(简称“QJBC”或“该伙伴关系”),包括皇后大学护理学院、加拿大标准协会、加拿大患者安全研究所、加拿大卫生研究院,并由一个积极而坚定的顾问委员会提供支持,该委员会代表 10 多个全国性组织,代表卫生连续体的所有部门,包括患者/家庭倡导团体、专业协会和其他机构。这种独特的伙伴关系旨在为患者安全的第一线提供及时、有针对性的学术支持。QJBC 采用了“综合知识转化”方法来确定和应对患者安全优先事项,并确保与利益相关者积极参与生成和使用现有知识。综合证据和指南适应方法被用来获取与相关患者安全问题相关的定量和定性证据,随后对可行性、意义、适宜性/可接受性和有效性问题做出回应。
本文描述了该伙伴关系的概念基础、拟议方法及其行动计划。希望我们的探索能为其他人在其自身领域内开发患者安全模型提供一些指导。