Stoneygate Centre for Empathic Healthcare, Leicester Medical School, Leicester, UK
Faculty of Philosophy, University of Oxford, Oxford, UK.
BMJ Open. 2024 May 27;14(5):e085312. doi: 10.1136/bmjopen-2024-085312.
One in 10 patients are harmed in healthcare, more than three million deaths occur annually worldwide due to patient safety incidents, and the economic burden of patient safety incidents accounts for 15% of hospital expenditure. Poor communication between patients and practitioners is a significant contributor to patient safety incidents. This study aims to evaluate the extent to which patient safety is affected by communication and to provide a logic model that illustrates how communication impacts patient safety.
We will conduct a systematic review of randomised and non-randomised studies, reported in any language, that quantify the effects of practitioner and patient communication on patient safety. We will search MEDLINE, CINAHL, APA PsychINfo, CENTRAL, Scopus and ProQuest theses and dissertations from 2013 to 7 February 2024. We will also hand-search references of included studies. Screening, data extraction and risk of bias assessment will be conducted by two independent reviewers. Risk of bias will be assessed using the Cochrane Risk of Bias in Non-Randomised Studies of Interventions (ROBINS-I) for non-randomised studies, and the Cochrane Risk of Bias V.2 (RoB2) for randomised controlled trials. If appropriate, results will be pooled with summary estimates and 95% confidence intervals (CIs); otherwise, we will conduct a narrative synthesis. We will organise our findings by healthcare discipline, type of communication and type of patient safety incident. We will produce a logic model to illustrate how communication impacts patient safety.
This systematic review does not require formal ethics approval. Findings will be disseminated through international conferences, news and peer-reviewed journals.
CRD42024507578.
每 10 名患者中就有 1 人在医疗保健中受到伤害，全球每年有超过 300 万人因患者安全事件而死亡，患者安全事件的经济负担占医院支出的 15%。患者与医务人员之间沟通不畅是导致患者安全事件的一个重要因素。本研究旨在评估沟通对患者安全的影响程度，并提供一个逻辑模型，说明沟通如何影响患者安全。
我们将对 2013 年至 2024 年 2 月 7 日期间以任何语言报告的随机和非随机研究进行系统评价，这些研究量化了医生和患者沟通对患者安全的影响。我们将检索 MEDLINE、CINAHL、APA PsychINfo、CENTRAL、Scopus 和 ProQuest 论文和学位论文。我们还将对纳入研究的参考文献进行手工检索。筛选、数据提取和偏倚风险评估将由两名独立评审员进行。非随机干预研究的 Cochrane 偏倚风险（ROBINS-I）将用于非随机研究，Cochrane 偏倚风险 2.0（RoB2）将用于随机对照试验。如果合适，将汇总估计值和 95%置信区间（CI）进行汇总；否则，将进行叙述性综合。我们将按医疗学科、沟通类型和患者安全事件类型组织研究结果。我们将制作一个逻辑模型来说明沟通如何影响患者安全。
本系统评价不需要正式的伦理批准。研究结果将通过国际会议、新闻和同行评议期刊传播。
PROSPERO 注册号：CRD42024507578。
