Patient Safety in Nursing Homes From an Ecological Perspective: An Integrated Review.

IF 1.7 3区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of Patient Safety Pub Date : 2024-03-01 Epub Date: 2023-12-21 DOI:10.1097/PTS.0000000000001189

Deulle Min, Seungmi Park, Suhee Kim, Hye Ok Park

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引用次数: 0

Abstract

Objectives: The aims of the study were to identify the systemic factors affecting the characteristics and safety of older adults living in nursing homes and the resulting resident outcomes and to explore the relationship between them through an integrated literature review.

Methods: A literature search was conducted from April 22 to May 6, 2021, in the PubMed, Embase, Cochrane CENTRAL, CIHNAL, RISS, NDL, and KoreaMed databases. The following key words and MeSH terms were used for the search: "nursing home," "skilled nursing facility," "long-term care facility," and "patient safety" or "safety."

Results: Forty-seven qualifying articles were finally selected. Three domains were derived as personal factors, 12 as facility factors, and one as a policy factor. The interrelationships between them could result in positive or negative resident outcomes. The relationship between them was also reconstructed from an ecological perspective.

Conclusions: The results demonstrated that the safety and quality of life of older adults living in nursing homes were affected by both individual and institutional factors.

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从生态学角度看养老院的患者安全：综合评述。

研究目的本研究旨在通过综合文献综述，确定影响养老院老年人特征和安全的系统性因素以及由此导致的居民结果，并探讨它们之间的关系：2021 年 4 月 22 日至 5 月 6 日，在 PubMed、Embase、Cochrane CENTRAL、CIHNAL、RISS、NDL 和 KoreaMed 数据库中进行了文献检索。检索使用了以下关键词和 MeSH 术语："疗养院"、"专业护理机构"、"长期护理机构"、"患者安全 "或 "安全"：最终筛选出 47 篇符合条件的文章。其中 3 个领域为个人因素，12 个领域为机构因素，1 个领域为政策因素。它们之间的相互关系可能会导致积极或消极的住院结果。我们还从生态学的角度重新构建了它们之间的关系：研究结果表明，居住在养老院的老年人的安全和生活质量受到个人因素和机构因素的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Patient Safety HEALTH CARE SCIENCES & SERVICES-

CiteScore

4.60

自引率

13.60%

发文量

302

期刊介绍： Journal of Patient Safety (ISSN 1549-8417; online ISSN 1549-8425) is dedicated to presenting research advances and field applications in every area of patient safety. While Journal of Patient Safety has a research emphasis, it also publishes articles describing near-miss opportunities, system modifications that are barriers to error, and the impact of regulatory changes on healthcare delivery. This mix of research and real-world findings makes Journal of Patient Safety a valuable resource across the breadth of health professions and from bench to bedside.