Nunes Elisabete, Sirtoli Fernanda, Lima Eliane, Minarini Greyce, Gaspar Filomena, Lucas Pedro, Primo Cândida
Nursing Research, Innovation, and Development Centre of Lisbon [CIDNUR], Escola Superior de Enfermagem de Lisboa, Avenida Professor Egas Moniz, 1600-190 Lisboa, Portugal.
Centro de Ciências da Saúde, Campus de Maruípe, Universidade Federal do Espírito Santo, Avenida Marechal Campos, 1.468, Vitória 29047-105, ES, Brazil.
Healthcare (Basel). 2024 Oct 18;12(20):2075. doi: 10.3390/healthcare12202075.
Patient safety is an important component of healthcare service quality, and there are numerous instruments in the literature that measure patient safety. This scoping reviewaims to map the instruments/scales for assessing patient safety in healthcare services.
This scoping review follows the JBI methodology. The protocol was registered on the Open Science Framework. Eligibility criteria were defined based on studies that include instruments or scales for assessing patient safety in healthcare services, in any language, and without temporal restrictions. It adhered to all scoping review checklist items [PRISMA-ScR], with searches in the Embase, Lilacs, MedLine, and Scopus databases, as well as the repository of the Brazilian Digital Library of Theses and Dissertations. Two independent reviewers performed selection and data extraction in July 2023.
Of the 4019 potential titles, 63 studies reported on a total of 47 instruments/scales and 71 dimensions for patient safety assessment. The most-described dimensions were teamwork, professional satisfaction, safety climate, communication, and working conditions.
The diversity of instruments and dimensions for patient safety assessment characterizes the multidimensionality and scope of patient safety. However, it hinders benchmarking between institutions and healthcare units.
患者安全是医疗服务质量的重要组成部分，文献中有众多衡量患者安全的工具。本综述旨在梳理用于评估医疗服务中患者安全的工具/量表。
本综述遵循循证卫生保健国际协作网（JBI）的方法。该方案已在开放科学框架上注册。纳入标准基于包含用于评估医疗服务中患者安全的工具或量表的研究，不限语言，无时间限制。本综述遵循所有范围综述清单项目[系统评价和Meta分析扩展版的首选报告项目（PRISMA-ScR）]，检索了Embase、Lilacs、Medline和Scopus数据库，以及巴西数字论文和学位论文库。2023年7月，两名独立评审员进行了筛选和数据提取。
在4019个潜在标题中，63项研究报告了总共47种用于患者安全评估的工具/量表和71个维度。描述最多的维度是团队合作、职业满意度、安全氛围、沟通和工作条件。
患者安全评估工具和维度的多样性体现了患者安全的多维度性和范围。然而，这阻碍了不同机构和医疗单位之间的基准比较。
