初级牙科护理中的患者安全氛围研究:系统性范围界定审查

IF 1.8 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Eduardo Ensaldo-Carrasco PhD, Luis Alvaro Álvarez-Hernandez BDent, María Luisa Peralta-Pedrero PhD, Carlos Aceves-González PhD
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引用次数: 0

摘要

背景患者安全氛围是质量改进的一个重要因素。其目前的证据基础产生于发达国家的医院环境。方法 我们制定了一项检索策略,检索了从 2002 年 1 月 1 日至 2022 年 12 月 31 日的 MEDLINE、SCOPUS 和 Web of Science 数据库,以纳入有关患者安全文化或患者安全氛围评估的观察性研究。研究人员提取了评估方法特征和评估维度的相关项目数据,并进行了专题分析。本研究共收录了 5584 篇文章中的 9 篇。大多数研究来自高收入经济体。我们的分析揭示了方法上的差异。研究采用了非随机抽样(从 139 到 656 名参与者不等),回复率从 28% 到 93.7% 不等。有三种测量工具被用于评估患者安全氛围。这些方法主要是替换词语或改写句子。只有一项研究采用了之前通过心理测量方法验证过的工具。一般来说,患者安全氛围水平较低或中性。讨论尽管评估工具多种多样,但我们二十年来的分析表明,与医学相比,患者安全氛围的评估方法存在差异。合作对于提高标准、优先考虑口腔医疗服务中的患者安全以及倡导将安全氛围纳入地方和国家质量与患者安全战略至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient safety climate research in primary care dentistry: A systematic scoping review

Background

Patient safety climate constitutes an important element for quality improvement. Its current evidence base has been generated in hospital settings in developed countries. Studies in dentistry are limited.

Objective

To systematically explore the evidence regarding assessing patient safety climate in dentistry.

Methods

We developed a search strategy to explore MEDLINE, SCOPUS, and Web of Science databases from January 1st, 2002, to December 31st, 2022, to include observational studies on patient safety culture or patient safety climate assessment. Methodological features and item data concerning the dimensions employed for assessment were extracted and thematically analyzed. Reported scores were also collected.

Results

Nine articles out of 5584 were included in this study. Most studies were generated from high-income economies. Our analysis revealed methodological variations. Non-randomized samples were employed (ranging from 139 to 656 participants), and response rates varied from 28% to 93.7%. Three types of measurement instruments have been adapted to assess patient safety climate. These mainly consisted of replacing words or rewording sentences. Only one study employed an instrument previously validated through psychometric methods. In general, patient safety climate levels were either low or neutral. Only one study reported scores equal to or greater than 75.

Discussion

Despite diverse assessment tools, our two-decade analysis reveals a lag compared with medicine, resulting in methodological variations for assessing patient safety climate. Collaboration is vital to elevate standards, prioritize patient safety across oral healthcare services, and advocate for integrating safety climate into local and national quality and patient safety strategies.

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来源期刊
Journal of public health dentistry
Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.80
自引率
4.30%
发文量
69
审稿时长
6-12 weeks
期刊介绍: The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.
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