Patient safety in hospital care: a review of the patient’s perspective

Villar, Vanessa Cristina Felippe Lopes; Duarte, Sabrina da Costa Machado; Martins, Mônica

Acessibilidade / Reportar erro

Brasil

Cadernos de Saúde Pública

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Brasil

Español English

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Sumário

REVIEW • Cad. Saúde Pública 36 (12) • 2020 • https://doi.org/10.1590/0102-311X00223019 copy

Patient safety in hospital care: a review of the patient’s perspective

Authorship SCIMAGO INSTITUTIONS RANKINGS

The goal was to review the literature on incidents and adverse events and their contributing factors in hospital care, described according to the patient’s perspective. A review was carried out of articles published in the MEDLINE, Scopus and LILACS databases between 2008 and 2019. From the 2,686 studies initially found, 167 were pre-selected for reading and then 24 were selected and classified based on a thematic analysis of their content. Four categories resulted from the information extracted from the 24 articles: terminology used to define incidents and adverse events, especially different terms such as error and medical error; incidents and adverse events identified by patients, family members and caregivers related to medication, surgery, health care-related infections, falls and pressure injuries; patients’ perception of factors that contribute to unsafe care, especially problems related to communication, hand washing and patient identification; suggestions from patients to prevent the occurrence of incidents and adverse events, including training staff, drawing up checklists, listening to patients and adapting the environment. Patients were able to identify incidents, adverse events and contributing factors in health care. Alongside information from staff, their reports can potentially contribute to the provision of safer health care.

Keywords:
Patient Safety; Patient-centered Care; Patient Preference; Patient Participation

Databases	Terms used	Publications (n)
LILACS via VHL	tw:((tw:(“patient safety” OR “seguranca do paciente”) AND (tw:(“risk management” OR “Consumer participation” OR “patient participation” OR “segurança do paciente” OR “reporting incidents” OR “Patient reports” OR “patient perspective” OR “patient-centered care” OR “patient engagement” OR “patient participation” OR “patient experience” OR “patient reporting experience”)))) AND (fulltext:(“1”) AND db:(“LILACS”) AND limit:(“humans” OR “female” OR “male” OR “adult” OR “aged”) AND la:(“pt” OR “en” OR “es”) AND year_cluster: (“2016” OR “2015” OR “2018” OR “2017” OR “2014” OR “2019” OR “2013” OR “2012” OR “2010” OR “2011” OR “2009” OR “2008”))	739
MEDLINE via PubMed	((“patient safety”[Title/Abstract] OR “patient safety”[MeSH Terms]) AND ((((“risk management”[MeSH Terms] OR “consumer participation”[Title/Abstract] OR “patient participation”[MeSH Terms]) OR “patient participation”[Title/Abstract]) OR “reporting incidents”[Title/Abstract]) OR (((((“patient reports”[Title/Abstract] OR “patient centered care”[Title/Abstract]) OR “patient perspective”[Title/Abstract]) OR “patient participation”[MeSH Terms]) OR “patient experience”[Title/Abstract]) OR “patient reporting improvement”[Title/Abstract]) OR “safety management”[Title/Abstract])) AND ((“loattrfree full text”[sb] AND “loattrfull text”[sb]) AND (“2008/01/01”[PDAT]: “2019/12/31”[PDAT]) AND “humans”[MeSH Terms])	1,554
Scopus	(TITLE (“patient safety”) AND TITLE-ABS-KEY ((“risk management” OR “Consumer participation” OR “patient participation” OR “reporting incidents” OR “Patient reports” OR “patient perspective” OR “patient-centered care” OR “patient engagement” OR “patient participation”)) OR TITLE-ABS-KEY ((“patient experience” OR “patient reporting experience”))) AND (LIMIT-TO (DOCTYPE, “ar”) OR LIMIT-TO (DOCTYPE, “ch”) OR LIMIT-TO (DOCTYPE, “sh”) OR LIMIT-TO (DOCTYPE, “bk”)) AND (LIMIT-TO (PUBYEAR, 2019) OR LIMIT-TO (PUBYEAR, 2018) OR LIMIT-TO (PUBYEAR, 2017) OR LIMIT-TO (PUBYEAR, 2016) OR LIMIT-TO (PUBYEAR, 2015) OR LIMIT-TO (PUBYEAR, 2014) OR LIMIT-TO (PUBYEAR, 2013) OR LIMIT-TO (PUBYEAR, 2012) OR LIMIT-TO (PUBYEAR, 2011) OR LIMIT-TO (PUBYEAR, 2010) OR LIMIT-TO (PUBYEAR, 2009) OR LIMIT-TO (PUBYEAR, 2008)) AND (LIMIT-TO (LANGUAGE, “English”) OR LIMIT-TO (LANGUAGE, “Spanish”) OR LIMIT-TO (LANGUAGE, “Portuguese”))	512

Reasons	n
Monograph	1
Term paper	1
Thesis	1
Interview	3
Patient satisfaction study	5
Unavailable for free or through a library	5
Letter	6
Dissertation	7
Patient safety and homecare	7
Books	8
Patient safety in dentistry	8
Studies in other languages	11
Patient safety in students’ perspective	11
Patient safety in laboratories	11
Patient safety in use of medical equipment	12
Opinion articles	15
Patient safety instruction	15
Patient safety and mental health	15
Patient safety in maternity and obstetrics care	16
Patient safety in the use of radiation-generating devices	19
Abstract not available	22
Editorial	26
Clinical trials	49
Primary care studies	83
Studies relates to pediatrics and neonatology	127
Reviews	147
Patient safety in treatment of specific pathologies (cancer, diabetes, orthopedics, circulatory system...)	149
Patient safety in medication processes	195
Unrelated to the subject	467
Patient safety in staff perspective	1,077
Total	2,519

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E-mail: cadernos@ensp.fiocruz.br

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[1] Correspondence
V. C. F. L. Villar Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil. Av. Brasil 4365, Rio de Janeiro, RJ 21040-360, Brasil. vanessalopesvillar@gmail.com