PDF(Pubmed)
Abstract：
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
摘要：
■医疗保健系统应确保为患者提供优质的服务而不伤害他们。然而,服务的提供偶尔伴随着伤害或并发症，其中大部分是可以预防的。大多数研究都集中在二级医疗保健而不是初级医疗保健（PHC）。因此，本研究旨在确定全球PHC患者安全的不同方面和组成部分.
■这项系统评价研究是根据PRISMA报告指南于2022年11月进行的。从PubMed检索的研究，Scopus,科克伦图书馆,WebofScience,和EMBASE，并从2000年到2022年使用关键字“患者安全”和“PHC”搜索英文文档。最后,两名审稿人独立提取数据，并使用主题内容分析进行分析。
■总的来说，根据纳入和排除标准，在最初的4937篇确定的文章中选择了23篇进行最终分析。这些研究大多采用定性-定量的方法(61.9%，这两个方面的七项研究)，64%是在欧洲国家进行的。最终,为PHC患者安全确定了五个维度和22个组件，包括管理措施，质量管理,资源和技术，文件,和患者相关因素。
■本研究中确定的患者安全维度和组成部分可以帮助制定明确的患者安全定义及其在PHC中的评估标准和标准。考虑到以前大多数关于PHC患者安全的研究是在欧洲和发达国家进行的，建议研究人员在发展中国家进行更多的研究以填补这一研究空白。
■这项系统评价研究是根据PRISMA报告指南于2022年11月进行的。从PubMed检索的研究，Scopus,科克伦图书馆,WebofScience,和EMBASE，并从2000年到2022年使用关键字“患者安全”和“PHC”搜索英文文档。最后,两名审稿人独立提取数据，并使用主题内容分析进行分析。
■总的来说，根据纳入和排除标准，在最初的4937篇确定的文章中选择了23篇进行最终分析。这些研究大多采用定性-定量的方法(61.9%，这两个方面的七项研究)，64%是在欧洲国家进行的。最终,为PHC患者安全确定了五个维度和22个组件，包括管理措施，质量管理,资源和技术，文件,和患者相关因素。
■本研究中确定的患者安全维度和组成部分可以帮助制定明确的患者安全定义及其在PHC中的评估标准和标准。考虑到以前大多数关于PHC患者安全的研究是在欧洲和发达国家进行的，建议研究人员在发展中国家进行更多的研究以填补这一研究空白。
