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Patient perceptions of safety in primary care: a qualitative study to inform care
Current Medical Research and Opinion ( IF 2.3 ) Pub Date : 2021-09-22 , DOI: 10.1080/03007995.2021.1976736
Elyse C Lasser 1 , JaAlah-Ai Heughan 1 , Alden Yuanhong Lai 2 , Christina T Yuan 3 , Sydney M Dy 1 , Mark Bittle 1 , Tyler Oberlander 4 , Samantha I Pitts 5 , Jill Marsteller 1 , Susan M Hannum 6
Affiliation  

Abstract

Patients’ perspectives on patient safety have rarely been incorporated into quality initiatives in primary care. Our objective was to understand the patient perspective on patient safety in patient-centered medical homes (PCMHs). We conducted 12 patient focus groups/interviews in nine sites with 65 patients at a geographically diverse sample of National Committee on Quality Assurance Level 3 recognized PCMHs across three states. Using a patient safety framework, we coded and analyzed interviews for overarching themes and subthemes across patient safety domains. Overarching themes focused on (1) both clear and timely communication with and between clinicians and (2) trust in the care team, including being heard, respected, and treated as a whole person. Other themes important to specific patient safety domains included sharing of and access to information, patient education and patient-centered medication reconciliation process, clear documentation for the diagnostic process, patient-centered comprehensive visits, and timeliness of care. Communication and trust are key to patient perceptions of safe primary care. Focusing on these themes across safety domains may help to make primary care both more patient-centered and safer, and should be considered in future ambulatory safety initiatives.



中文翻译:

患者对初级保健安全的看法:一项为护理提供信息的定性研究

摘要

患者对患者安全的看法很少被纳入初级保健的质量举措中。我们的目标是了解患者对以患者为中心的医疗之家 (PCMH) 患者安全的看法。我们在 9 个地点对 65 名患者进行了 12 次患者焦点小组/访谈,这些患者来自三个州的国家质量保证委员会 3 级认可的 PCMH 的不同地域样本。使用患者安全框架,我们对跨患者安全领域的总体主题和子主题的访谈进行了编码和分析。总体主题侧重于 (1) 与临床医生之间清晰及时的沟通,以及 (2) 对护理团队的信任,包括被倾听、被尊重和作为一个完整的人被对待。对特定患者安全领域重要的其他主题包括信息共享和访问、患者教育和以患者为中心的药物协调过程、诊断过程的清晰文档、以患者为中心的全面访问以及护理的及时性。沟通和信任是患者对安全初级保健的看法的关键。跨安全领域关注这些主题可能有助于使初级保健更加以患者为中心和更安全,并且应在未来的门诊安全举措中予以考虑。

更新日期:2021-10-29
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