Fekadu Gelana, Muir Rachel, Tobiano Georgia, Ireland Michael J, Engidaw Melaku Tadege, Marshall Andrea P
School of Nursing and Midwifery, Griffith University, Gold Coast Campus, 1 Parklands Dr, Southport, Queensland, Australia 4222
School of Nursing, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia 235.
BMJ Open Qual. 2025 Feb 26;14(1):e003202. doi: 10.1136/bmjoq-2024-003202.
Patient safety incident reporting and learning systems are crucial for improving the safety and quality of healthcare. However, comprehensive evidence of their availability and use in African healthcare organisations is lacking. Therefore, this review aims to synthesise the existing literature on these systems and reporting practices within African healthcare organisations.
A systematic review and meta-analysis were conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Five electronic databases, including PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL) via EBSCOhost, Scopus, Web of Science and the Excerpta Medica Database (Embase), were searched to identify relevant records. Peer-reviewed articles and guidelines published in English were included in this review. Quality appraisal was performed using the Joanna Briggs Institute and Quality Assessment with Diverse Studies tool. A random effects model was used to compute the pooled prevalence using Stata V.17.0.
A systematic search retrieved 9279 records, of which 39 (36 articles and 3 guidelines) were included in this review. Eight patient safety incident reporting and learning systems were identified, with compliance rates ranging from low (16%) to high (87%) based on the WHO criteria. The pooled prevalence of patient safety incident reporting practices was 48% (95% CI 40% to 56%). However, the studies exhibited high heterogeneity (I²=98.75%, p<0.001).
In African healthcare organisations, it is imperative to establish robust patient safety incident reporting and learning systems, as none of the existing systems fully meet WHO criteria. In addition, optimising the existing systems and encouraging healthcare professionals to improve reporting practices will enhance patient safety and outcomes.
CRD42023455168.
患者安全事件报告与学习系统对于提高医疗保健的安全性和质量至关重要。然而，缺乏关于这些系统在非洲医疗保健组织中的可用性和使用情况的全面证据。因此，本综述旨在综合非洲医疗保健组织中关于这些系统及报告实践的现有文献。
按照系统评价与Meta分析的首选报告项目指南进行系统评价和Meta分析。检索了五个电子数据库，包括通过EBSCOhost的PubMed、护理及相关健康文献累积索引（CINAHL）、Scopus、科学网和医学文摘数据库（Embase），以识别相关记录。纳入本综述的是用英文发表的同行评审文章和指南。使用乔安娜·布里格斯研究所和多研究质量评估工具进行质量评估。使用随机效应模型，通过Stata V.17.0计算合并患病率。
系统检索获得9279条记录，其中39条（36篇文章和3份指南）纳入本综述。确定了八个患者安全事件报告与学习系统，根据世界卫生组织标准，其合规率从低（16%）到高（87%）不等。患者安全事件报告实践的合并患病率为48%（95%可信区间40%至56%）。然而，这些研究表现出高度异质性（I²=98.75%，p<0.001）。
在非洲医疗保健组织中，必须建立强大的患者安全事件报告与学习系统，因为现有的系统均未完全符合世界卫生组织标准。此外，优化现有系统并鼓励医疗保健专业人员改进报告实践将提高患者安全性和治疗效果。
CRD42023455168。
