Patient safety domains in primary healthcare: A systematic review

Hadi Kalantari, Pouran Raeissi, Aydin Aryankhesal, Seyyed Masoud Hashemi, Nahid Reisi

Research output: Contribution to journalReview articlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)73-84
Number of pages12
JournalEthiopian Journal of Health Sciences
Volume34
Issue number1
Early online date1 Jan 2024
DOIs
Publication statusPublished - 9 Mar 2024

Keywords

  • Adverse events
  • Medical errors
  • Patient safety
  • Primary healthcare

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