Dy Sydney Morss
Department of Health Policy & Management, Johns Hopkins University, Baltimore, MD, USA Department of Oncology, Johns Hopkins University and Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD, USA Department of Medicine, Johns Hopkins University, Baltimore, MD, USA Armstrong Institute for Patient Safety and Quality, Baltimore, MD, USA Harry J. Duffey Family Pain and Palliative Care Program, Baltimore, MD, USA
Am J Hosp Palliat Care. 2016 Sep;33(8):791-6. doi: 10.1177/1049909115581847. Epub 2015 Apr 15.
The current state of the science in the fields of patient safety and palliative and end-of-life care have many issues in common. This article synthesizes recent systematic reviews and additional research on improving patient safety and end-of-life care and compares each field's perspective on common issues, both in traditional patient safety frameworks and in other areas, and how current approaches in each field can inform the other. The article then applies these overlapping concepts to a key example area: improving documentation of patient preferences for life-sustaining treatment. The synthesis demonstrates how end-of-life issues should be incorporated into patient safety initiatives. In addition, evaluating overlap and comparable issues between patient safety and end-of-life care and comparing different perspectives and improvement strategies can benefit both fields.
患者安全以及姑息治疗与临终关怀领域的当前科学状况存在许多共同问题。本文综合了近期关于提高患者安全和临终关怀的系统评价及其他研究，比较了每个领域在传统患者安全框架及其他领域中对常见问题的看法，以及每个领域当前的方法如何为另一个领域提供借鉴。然后，本文将这些重叠的概念应用于一个关键示例领域：改善关于维持生命治疗的患者偏好的记录。该综合分析表明了应如何将临终问题纳入患者安全倡议。此外，评估患者安全与临终关怀之间的重叠和可比问题，并比较不同的观点和改进策略，对这两个领域都有益处。
