An epistemology of patient safety research: a framework for study design and interpretation. Part 1. Conceptualising and developing interventions
An epistemology of patient safety research: a framework for study design and interpretation. Part 1. Conceptualising and developing interventions
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DOI：
10.1136/qshc.2007.023630
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发表时间：
2008-06-01
影响因子：
--
通讯作者：
Lilford, R. J.
中科院分区：
文献类型：
--
作者：
Brown, C.;Hofer, T.;Lilford, R. J.
这是考察患者安全研究认识论的四部分系列文章的第一部分。第二部分和第三部分将描述不同的研究设计和在评估患者安全干预措施时衡量结果的方法，在第四部分提出“一刀切不适合所有人”之前。第1部分将患者安全研究定义为一种具有挑战性的服务交付形式，并将组织研究定义为必须处理(尽管不是独家)一些非常罕见的事件。然后，它考虑了两个相互关联的想法：可用于确定干预措施可能影响组织结构和/或流程的因果链；以及对拟议干预措施进行实施前评估的必要性。最后，概述了作者对患者安全研究的实用主义本体论立场，为后面三篇文章奠定了哲学基础。
This is the first of a four-part series of articles examining the epistemology of patient safety research. Parts 2 and 3 will describe different study designs and methods of measuring outcomes in the evaluation of patient safety interventions, before Part 4 suggests that "one size does not fit all''. Part 1 sets the scene by defining patient safety research as a challenging form of service delivery and organisational research that has to deal (although not exclusively) with some very rare events. It then considers two inter-related ideas: a causal chain that can be used to identify where in an organisation's structure and/or processes an intervention may impact; and the need for preimplementation evaluation of proposed interventions. Finally, the paper outlines the authors' pragmatist ontological stance to patient safety research, which sets the philosophical basis for the remaining three articles.