Sokas Rosemary Kelly, Cloonan Patricia, Braun Barbara I
Department of Human Science Georgetown University School of Nursing and Health Studies St. Mary’s Hall Room 258 3700 Reservoir Rd, NW Washington, DC 20057, USA.
New Solut. 2013 Jan 1;23(2):283-95. doi: 10.2190/NS.23.2.e.
Concerns about stubbornly persistent high rates both of error-related patient injuries and of occupational injuries among healthcare workers have generated intense exploration of etiologies, interventions, and the role of underlying safety culture. Much of this work has centered on the role of physicians and nurses in health care, and suggests common issues related to safety culture. However, the role of front-line health care workers, such as nursing assistants, ward clerks, environmental service workers, food workers and transportation workers, among others, has not been explored sufficiently. This article provides the background for a workshop held in Washington, D.C., to identify gaps and opportunities for integrating front-line hospital workers into safety efforts. It provides a brief review of available information, the results of a series of focus groups of front-line workers from a single urban hospital addressing the question, and a series of framing questions for the workshop itself.
对医疗工作中与差错相关的患者伤害以及医护人员职业伤害持续居高不下的担忧，引发了对病因、干预措施以及潜在安全文化作用的深入探究。这项工作大多聚焦于医生和护士在医疗保健中的作用，并揭示了与安全文化相关的常见问题。然而，一线医护人员的作用，如护理助理、病房办事员、环境服务人员、食品工作人员和运输工作人员等，尚未得到充分探讨。本文为在华盛顿特区举办的一次研讨会提供了背景信息，该研讨会旨在确定将一线医院工作人员纳入安全工作的差距和机会。它简要回顾了现有信息、来自一家城市医院的一线工作人员针对该问题进行的一系列焦点小组讨论结果，以及研讨会本身的一系列框架性问题。
