初级医疗保健中的患者安全领域:系统回顾。

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES Ethiopian Journal of Health Sciences Pub Date : 2024-01-01 DOI:10.4314/ejhs.v34i1.9
Hadi Kalantari, Pouran Raeissi, Aydin Aryankhesal, Seyyed Masoud Hashemi, Nahid Reisi
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引用次数: 0

摘要

背景:医疗系统应确保在不伤害病人的情况下为病人提供优质服务。然而,在提供服务的过程中,偶尔也会出现伤害或并发症,其中大部分是可以预防的。大多数研究侧重于二级医疗保健而非初级医疗保健(PHC)。因此,本研究旨在确定全球初级医疗保健中患者安全的各个层面和组成部分:本系统综述研究于 2022 年 11 月根据 PRISMA 报告指南进行。研究从 PubMed、Scopus、Cochrane Library、Web of Science 和 EMBASE 中检索,并使用关键词 "患者安全 "和 "初级保健 "检索 2000 年至 2022 年的英文文献。最后,两名审稿人独立提取数据,并采用专题内容分析法进行分析:根据纳入和排除标准,在最初确定的 4937 篇文章中,有 23 篇被选中进行最终分析。这些研究大多采用定性和定量相结合的方法(61.9%,7 项研究同时采用定性和定量相结合的方法),64%的研究在欧洲国家进行。最终,确定了初级保健中患者安全的五个方面和 22 个组成部分,包括管理措施、质量管理、资源和技术、文件以及与患者相关的因素:本研究中确定的患者安全维度和组成部分有助于为初级保健中的患者安全及其评估标准和准则制定明确的定义。考虑到以往有关初级保健中患者安全的研究大多在欧洲和发达国家进行,建议研究人员在发展中国家开展更多研究,以填补这一研究空白。
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Patient Safety Domains in Primary Healthcare: A Systematic Review.

Background: Healthcare systems should ensure the provision of quality services to patients without harming them. However, the provision of services is occasionally accompanied by harm or complications, most of which are preventable. Most studies have focused on secondary healthcare rather than primary healthcare (PHC). Thus, this study aimed to identify various dimensions and components of patient safety in PHC worldwide.

Methods: This systematic review study was conducted in November 2022 based on PRISMA reporting guidelines. Studies were retrieved from PubMed, Scopus, Cochrane Library, Web of Science, and EMBASE and searched for English documents using the keywords "patient safety" and "PHC" from 2000 to 2022. Finally, two reviewers extracted the data independently and analyzed using thematic content analysis.

Results: Overall, 23 out of the initially 4937 identified articles were selected for the final analysis based on the inclusion and exclusion criteria. Most of these studies used a qualitative-quantitative approach (61.9%, seven studies for both), and 64% had been conducted in European countries. Eventually, five dimensions and 22 components were identified for patient safety in PHC, including management measures, quality management, resources and technology, documents, and patient-related factors.

Conclusion: The patient safety dimensions and components identified in this research can help develop a clear definition of patient safety and its assessment standards and criteria in PHC. Considering that most previous studies on patient safety in PHC were conducted in European and developed countries, it is suggested that researchers conduct more studies in developing countries to fill this research gap.

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来源期刊
Ethiopian Journal of Health Sciences
Ethiopian Journal of Health Sciences HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
8.30%
发文量
137
审稿时长
12 weeks
期刊介绍: Ethiopian Journal of Health Sciences is a general health science journal addressing clinical medicine, public health and biomedical sciences. Rarely, it covers veterinary medicine
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