Sahebi Ali, Golitaleb Mohamad, Jahangiri Katayoun
Department of Health in Disasters and Emergencies, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Non - Communicable Diseases Research Center, Ilam University of Medical Sciences, Ilam, Iran.
Int J Prev Med. 2021 Mar 29;12:34. doi: 10.4103/ijpvm.IJPVM_467_20. eCollection 2021.
Patient safety is an important and mandatory component of quality health services. Insecure health services, in addition to inflicting pain and suffering to patients, impose a high financial burden on the health system of every society. The present study was conducted to evaluate the critical standards of patient safety based on the Patient Safety Friendly Hospital Initiative (PSFHI) checklist in Iran.
The present systematic review and meta-analysis were performed based on the PRISMA guideline. For this purpose, articles related to the critical standards of patient safety based on the PSFHI checklist were obtained by searching valid Persian and English keywords in SID, Magiran, PubMed, Scopus, Web of Science, and Google scholar data resource through the end of 2019. The studies were analyzed using the STATA (version 14) software.
In the initial search, 533 articles were extracted among which 7 were eligible and entered into the meta-analysis process. Overall, 55 hospitals were surveyed, and the results of the meta-analysis showed that the average critical standards of patient safety were 69.52% (95%, CI = 57.09-81.95, I = 69%, = 0.004).
The results showed that a moderate level of critical standards of patient safety in hospitals in Iran. Since meta-regression analysis revealed a decreasing trend in compliance rate, hospital managers should implement principals designated by the World Health Organization to achieve the required standards that are the basis and pillar of a patient-friendly hospital. With proper management, hospitals should set goals and take steps based on a strategic plan toward achieving these goals.
患者安全是优质医疗服务的重要且必备组成部分。不安全的医疗服务，除了给患者带来痛苦外，还会给每个社会的医疗系统造成沉重的经济负担。本研究旨在根据伊朗患者安全友好医院倡议（PSFHI）清单评估患者安全的关键标准。
本系统评价和荟萃分析是根据PRISMA指南进行的。为此，通过在SID、Magiran、PubMed、Scopus、科学网和谷歌学术数据资源中检索有效的波斯语和英语关键词，获取截至2019年底与基于PSFHI清单的患者安全关键标准相关的文章。使用STATA（版本14）软件对研究进行分析。
在初步检索中，提取了533篇文章，其中7篇符合条件并进入荟萃分析过程。总体而言，对55家医院进行了调查，荟萃分析结果显示患者安全关键标准的平均水平为69.52%（95%，CI = 57.09 - 81.95，I = 69%，P = 0.004）。
结果表明伊朗医院患者安全关键标准处于中等水平。由于荟萃回归分析显示合规率呈下降趋势，医院管理者应实施世界卫生组织指定的原则，以达到作为患者友好型医院基础和支柱的所需标准。通过适当管理，医院应设定目标并根据战略计划采取措施来实现这些目标。
