PDF(Pubmed)
Abstract：
BACKGROUND: One in 10 patients are harmed in healthcare, more than three million deaths occur annually worldwide due to patient safety incidents, and the economic burden of patient safety incidents accounts for 15% of hospital expenditure. Poor communication between patients and practitioners is a significant contributor to patient safety incidents. This study aims to evaluate the extent to which patient safety is affected by communication and to provide a logic model that illustrates how communication impacts patient safety.
METHODS: We will conduct a systematic review of randomised and non-randomised studies, reported in any language, that quantify the effects of practitioner and patient communication on patient safety. We will search MEDLINE, CINAHL, APA PsychINfo, CENTRAL, Scopus and ProQuest theses and dissertations from 2013 to 7 February 2024. We will also hand-search references of included studies. Screening, data extraction and risk of bias assessment will be conducted by two independent reviewers. Risk of bias will be assessed using the Cochrane Risk of Bias in Non-Randomised Studies of Interventions (ROBINS-I) for non-randomised studies, and the Cochrane Risk of Bias V.2 (RoB2) for randomised controlled trials. If appropriate, results will be pooled with summary estimates and 95% confidence intervals (CIs); otherwise, we will conduct a narrative synthesis. We will organise our findings by healthcare discipline, type of communication and type of patient safety incident. We will produce a logic model to illustrate how communication impacts patient safety.
BACKGROUND: This systematic review does not require formal ethics approval. Findings will be disseminated through international conferences, news and peer-reviewed journals.
UNASSIGNED: CRD42024507578.
METHODS: We will conduct a systematic review of randomised and non-randomised studies, reported in any language, that quantify the effects of practitioner and patient communication on patient safety. We will search MEDLINE, CINAHL, APA PsychINfo, CENTRAL, Scopus and ProQuest theses and dissertations from 2013 to 7 February 2024. We will also hand-search references of included studies. Screening, data extraction and risk of bias assessment will be conducted by two independent reviewers. Risk of bias will be assessed using the Cochrane Risk of Bias in Non-Randomised Studies of Interventions (ROBINS-I) for non-randomised studies, and the Cochrane Risk of Bias V.2 (RoB2) for randomised controlled trials. If appropriate, results will be pooled with summary estimates and 95% confidence intervals (CIs); otherwise, we will conduct a narrative synthesis. We will organise our findings by healthcare discipline, type of communication and type of patient safety incident. We will produce a logic model to illustrate how communication impacts patient safety.
BACKGROUND: This systematic review does not require formal ethics approval. Findings will be disseminated through international conferences, news and peer-reviewed journals.
UNASSIGNED: CRD42024507578.
摘要：
背景：十分之一的患者在医疗保健中受到伤害，由于患者安全事故，全球每年有300多万人死亡，患者安全事件的经济负担占医院支出的15%。患者与从业者之间的沟通不良是患者安全事故的重要原因。本研究旨在评估沟通对患者安全的影响程度，并提供一个逻辑模型，说明沟通如何影响患者安全。
方法：我们将对随机和非随机研究进行系统评价。以任何语言报道，量化医生和患者沟通对患者安全的影响。我们将搜索MEDLINE,CINAHL,APAPsychINfo,中部,Scopus和ProQuest论文和论文从2013年到2024年2月7日。我们还将手工搜索纳入研究的参考文献。筛选,数据提取和偏见风险评估将由两名独立的审查员进行。将使用非随机干预研究（ROBINS-I）中的Cochrane偏差风险进行评估。和Cochrane偏差风险V.2（RoB2）用于随机对照试验。如果合适,结果将与汇总估计和95%置信区间(CI)合并；否则，我们将进行叙事综合。我们将按医疗保健学科组织我们的发现，通信类型和患者安全事件类型。我们将产生一个逻辑模型来说明通信如何影响患者安全。
背景：本系统审查不需要正式的道德批准。调查结果将通过国际会议传播，新闻和同行评审期刊。
■CRD42024507578。
方法：我们将对随机和非随机研究进行系统评价。以任何语言报道，量化医生和患者沟通对患者安全的影响。我们将搜索MEDLINE,CINAHL,APAPsychINfo,中部,Scopus和ProQuest论文和论文从2013年到2024年2月7日。我们还将手工搜索纳入研究的参考文献。筛选,数据提取和偏见风险评估将由两名独立的审查员进行。将使用非随机干预研究（ROBINS-I）中的Cochrane偏差风险进行评估。和Cochrane偏差风险V.2（RoB2）用于随机对照试验。如果合适,结果将与汇总估计和95%置信区间(CI)合并；否则，我们将进行叙事综合。我们将按医疗保健学科组织我们的发现，通信类型和患者安全事件类型。我们将产生一个逻辑模型来说明通信如何影响患者安全。
背景：本系统审查不需要正式的道德批准。调查结果将通过国际会议传播，新闻和同行评审期刊。
■CRD42024507578。
