BACKGROUND Marginalised groups ('populations outside of mainstream society') experience severe health inequities, as well as increased risk of experiencing patient safety incidents. To date however no review exists to identify, map and analyse the literature in this area in order to understand 1) which marginalised groups have been studied in terms of patient safety research, 2) what the particular patient safety issues are for such groups and 3) what contributes to or is associated with these safety issues arising. METHODS Scoping review. Systematic searches were performed across six electronic databases in September 2019. The time frame for searches of the respective databases was from the year 2000 until present day. RESULTS The searches yielded 3346 articles, and 67 articles were included. Patient safety issues were identified for fourteen different marginalised patient groups across all studies, with 69% (n = 46) of the studies focused on four patient groups: ethnic minority groups, frail elderly populations, care home residents and low socio-economic status. Twelve separate patient safety issues were classified. Just over half of the studies focused on three issues represented in the patient safety literature, and in order of frequency were: medication safety, adverse outcomes and near misses. In total, 157 individual contributing or associated factors were identified and mapped to one of seven different factor types from the Framework of Contributory Factors Influencing Clinical Practice within the London Protocol. Patient safety issues were mostly multifactorial in origin including patient factors, health provider factors and health care system factors. CONCLUSIONS This review highlights that marginalised patient groups are vulnerable to experiencing a variety patient safety issues and points to a number of gaps. The findings indicate the need for further research to understand the intersectional nature of marginalisation and the multi-dimensional nature of patient safety issues, for groups that have been under-researched, including those with mental health problems, communication and cognitive impairments. Such understanding provides a basis for working collaboratively to co-design training, services and/or interventions designed to remove or at the very least minimise these increased risks. TRIAL REGISTRATION Not applicable for a scoping review.

中文翻译：

---

边缘人群的患者安全：叙事范围回顾。

背景技术边缘化群体（“主流社会之外的人口”）经历了严重的健康不平等，并增加了发生患者安全事件的风险。但是，迄今为止，尚无任何文献可以识别，定位和分析该领域的文献，以了解1）在患者安全研究方面研究了哪些边缘人群，2）这些人群的特定患者安全问题和3 ）是什么原因导致这些安全问题或与之相关。方法范围界定。2019年9月在六个电子数据库中进行了系统的搜索。搜索各个数据库的时间范围是从2000年到今天。结果该搜索产生了3346篇文章，包括67篇文章。在所有研究中，针对14个不同的边缘化患者群体确定了患者安全问题，其中69％（n = 46）的研究集中于四个患者群体：少数民族群体，脆弱的老年人口，疗养院居民和低社会经济地位。对十二个单独的患者安全问题进行了分类。刚过一半的研究集中在患者安全文献中涉及的三个问题上，并且按频率排列的顺序是：药物安全性，不良后果和差错。从《伦敦议定书》的影响临床实践的影响因素框架中，总共确定了157个个体影响因素或相关因素，并将其映射到七个不同因素类型之一。患者安全问题主要是由多种因素造成的，包括患者因素，健康提供者因素和卫生保健系统因素。结论这篇综述强调了边缘化的患者群体容易遭受各种患者安全问题的困扰，并指出了许多差距。研究结果表明，对于那些研究不足的群体，包括精神健康问题，沟通和认知障碍的群体，有必要进一步研究以了解边缘化的交叉性质和患者安全问题的多维性质。这样的理解为协作设计培训，服务和/或干预措施提供了基础，这些培训，服务和/或干预措施旨在消除或至少最小化这些增加的风险。试用注册不适用于范围审查。结论这篇综述强调了边缘化的患者群体容易遭受各种患者安全问题的困扰，并指出了许多差距。研究结果表明，对于那些研究不足的群体，包括精神健康问题，沟通和认知障碍的群体，有必要进一步研究以了解边缘化的交叉性质和患者安全问题的多维性质。这种理解为协同工作以共同设计旨在消除或至少最小化这些增加的风险的培训，服务和/或干预措施提供了基础。试用注册不适用于范围审查。结论这篇综述强调了边缘化的患者群体容易遭受各种患者安全问题的困扰，并指出了许多差距。研究结果表明，对于那些研究不足的群体，包括精神健康问题，沟通和认知障碍的群体，有必要进一步研究以了解边缘化的交叉性质和患者安全问题的多维性质。这样的理解为协作设计培训，服务和/或干预措施提供了基础，这些培训，服务和/或干预措施旨在消除或至少最小化这些增加的风险。试用注册不适用于范围审查。研究结果表明，对于那些研究不足的群体，包括精神健康问题，沟通和认知障碍的群体，有必要进一步研究以了解边缘化的交叉性质和患者安全问题的多维性质。这样的理解为协作设计培训，服务和/或干预措施提供了基础，这些培训，服务和/或干预措施旨在消除或至少最小化这些增加的风险。试用注册不适用于范围审查。研究结果表明，对于那些研究不足的群体，包括精神健康问题，沟通和认知障碍的群体，有必要进一步研究以了解边缘化的交叉性质和患者安全问题的多维性质。这样的理解为协作设计培训，服务和/或干预措施提供了基础，这些培训，服务和/或干预措施旨在消除或至少最小化这些增加的风险。试用注册不适用于范围审查。这种理解为协同工作以共同设计旨在消除或至少最小化这些增加的风险的培训，服务和/或干预措施提供了基础。试用注册不适用于范围审查。这种理解为协同工作以共同设计旨在消除或至少最小化这些增加的风险的培训，服务和/或干预措施提供了基础。试用注册不适用于范围审查。