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首页> 外文期刊>BMC Family Practice >Patients’ views of adverse events in primary and ambulatory care: a systematic review to assess methods and the content of what patients consider to be adverse events
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Patients’ views of adverse events in primary and ambulatory care: a systematic review to assess methods and the content of what patients consider to be adverse events

机译：患者对初级保健和门诊治疗中不良事件的看法：系统评估以评估患者认为不良事件的方法和内容

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Patient safety gained widespread public attention in the last 20?years. However, most patient safety research relied upon professionals’ exceptions and was realised especially in the hospital sector. Gradually patients’ attention has been focused on safety campaigns in inpatient care. We aimed to better assess patients’ perceptions in primary and ambulatory care. A systematic review was conducted by use of database searches with additional reference and hand searching. The search strategy implied MeSH-terms relating to adverse events, incident reporting and outpatient care. Relevant articles were selected by applying defined eligibility criteria. Studies exclusively based on hospital data as well as the professionals’ point of view were excluded. We included 19 studies. Patients were able to identify events that were traditionally recognised by the medical community as technical medical aspects (e.g. errors in diagnosis). An important field of patient participation in prevention of adverse events was proposed in the medication process. Most reported events however could be described as service quality incidents. Communication problems were shown to have implications on the occurrence of technical medical aspects and patients’ satisfaction of their care. Further, unsatisfied patients were more likely to recognize adverse events. Patients’ perception of patient safety in primary and ambulatorycare broadened the previous focus on technical medical aspects. Especially communication factors played an important role in the occurrence and consequence of adverse events and patients’ satisfaction. Future research should concentrate on developing possible ways to integrate patients’ views and participation in ensuring safety in outpatient care.
机译：在过去的20年中，患者安全得到了公众的广泛关注。但是，大多数患者安全性研究都依赖于专业人员的例外情况，并且尤其是在医院领域中得到了实现。逐渐地，患者的注意力已集中在住院治疗中的安全运动上。我们旨在更好地评估患者在初级保健和门诊治疗中的看法。通过使用带有附加参考文献和人工搜索的数据库搜索进行了系统的审查。搜索策略隐含与不良事件，事件报告和门诊相关的MeSH术语。通过应用定义的资格标准选择相关文章。排除了仅基于医院数据以及专业人员观点进行的研究。我们纳入了19项研究。患者能够识别出医学界传统上认为属于技术医学方面的事件（例如诊断错误）。在药物治疗过程中，提出了患者参与预防不良事件的重要领域。但是，大多数报告的事件可以描述为服务质量事件。沟通问题被证明对技术医学方面的发生以及患者对其护理的满意度有影响。此外，不满意的患者更有可能认识到不良事件。患者对初级保健和门诊患者安全性的认识扩大了以前对技术医学方面的关注。尤其是沟通因素在不良事件的发生和后果以及患者的满意度方面起着重要作用。未来的研究应集中在开发可能的方法以整合患者的观点和参与以确保门诊医疗的安全性。

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