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现行法律和政策如何支持英格兰国民保健服务(NHS)医疗服务提供者应对患者伤害:一项范围综述方案。

How current law and policy supports providers of NHS healthcare in England to respond to patient harm: A scoping review protocol.

作者信息

Assame Naomi, Greenhalgh Susan, Tingle John, Wright Julie, Yeowell Gillian

机构信息

Department of Health Professions, Manchester Metropolitan University, Manchester, United Kingdom.

Birmingham Law School, University of Birmingham, Birmingham, United Kingdom.

出版信息

PLoS One. 2024 Mar 11;19(3):e0299121. doi: 10.1371/journal.pone.0299121. eCollection 2024.

DOI:10.1371/journal.pone.0299121
PMID:38466664
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10927104/
Abstract

INTRODUCTION

Harm arising from National Health Service (NHS) healthcare results in significant human cost for the patient, those who care for them, and the medical staff involved. Furthermore, patient harm results in substantial financial costs to the public purse. Improving how NHS providers in England respond to patient harm could reduce the number of claims for clinical negligence brought against NHS. Doing so will ensure those affected receive the justice they deserve and protect the public purse. Law and policy are key to supporting providers of NHS healthcare to respond to patient harm but are not necessarily understood and therefore can be challenging to apply to practice. Research exploring how law and policy supports this understanding is limited. The purpose of this scoping review is to address this knowledge gap and improve understanding by critically evaluating how law and policy supports providers of NHS healthcare in England to respond to patient harm.

METHODS AND ANALYSIS

The review will use the methodological framework proposed by Arskey and O'Malley, Levac et al and the Joanna Briggs Institute. Search strategies will be developed using selected key words and index terms. MEDLINE, CINAHL, and Westlaw and reference lists of relevant publications will be searched to identify relevant grey literature. Two reviewers will independently assess the extracted data against the eligibility criteria. All studies identified will be charted and the results presented as a narrative synthesis.

摘要

引言

国民医疗服务体系(NHS)医疗保健所产生的危害,给患者、照顾他们的人以及相关医护人员带来了巨大的人力成本。此外,患者伤害给公共财政带来了巨大的经济成本。改善英格兰NHS医疗服务提供者应对患者伤害的方式,可能会减少针对NHS提起的临床过失索赔数量。这样做将确保受影响的人得到应有的公正,并保护公共财政。法律和政策是支持NHS医疗保健提供者应对患者伤害的关键,但不一定被理解,因此在实践中应用可能具有挑战性。探索法律和政策如何支持这种理解的研究有限。本范围综述的目的是填补这一知识空白,并通过批判性评估法律和政策如何支持英格兰的NHS医疗保健提供者应对患者伤害,来增进理解。

方法与分析

本综述将采用Arskey和O'Malley、Levac等人以及乔安娜·布里格斯研究所提出的方法框架。将使用选定的关键词和索引词制定检索策略。将检索MEDLINE、CINAHL和Westlaw以及相关出版物的参考文献列表,以识别相关的灰色文献。两名评审员将根据纳入标准独立评估提取的数据。所有识别出的研究都将进行图表绘制,并将结果以叙述性综述的形式呈现。

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本文引用的文献

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BMJ. 2019 Jul 17;366:l4185. doi: 10.1136/bmj.l4185.
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PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation.PRISMA 扩展用于范围审查 (PRISMA-ScR): 清单和解释。
Ann Intern Med. 2018 Oct 2;169(7):467-473. doi: 10.7326/M18-0850. Epub 2018 Sep 4.
3
Scoping studies: advancing the methodology.范围研究:方法学的推进。
Implement Sci. 2010 Sep 20;5:69. doi: 10.1186/1748-5908-5-69.