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Contributions to the Portuguese National Plan for Patient Safety 2021–2026: A Robust Methodology Based on the Mixed-Method Approach

2021Journal article Open access
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dc.contributor.authorSousa, P
dc.contributor.authorPaiva, SG
dc.contributor.authorLobão, MJ
dc.contributor.authorVan-Innis, AL
dc.contributor.authorPereira, C
dc.contributor.authorFonseca, V
dc.date.accessioned2022-08-07T20:39:26Z
dc.date.available2022-08-07T20:39:26Z
dc.date.issued2021
dc.description.abstractIntroduction: Several countries prioritize patient safety in their health policies. In Portugal, following the implementation of the National Plan for Patient Safety (NPPS) 2015– 2020, the research team of the National School of Public Health (NSPH) carried out extensive work to continue improving aspects of the previous Plan. This work was focused on identifying the strengths and weaknesses of NPPS 2015– 2020 and aspects related to its applicability and main challenges and opportunities for the implementation of the NPPS 2021–2026. Methods: Methodological dynamic process was based on the most relevant international and national guidelines and the feedback from key patient safety stakeholders. We developed a cross-sectional mixed-methods study from January to August 2021. We used documentation and periodical reports from National Health Service (NHS) healthcare institutions as secondary sources of information. For primary data collection, we used an online survey (applied to elements in the different quality and safety structures of hospitals and primary care units), interviews, and focus groups to collect information from patient safety experts. Results and Discussion: Strengthening safety culture, patient safety training, communication, leadership involvement, patient and family engagement, and monitorization process is considered essential. We also identified local limitations such as the lack of resources and protected time for the healthcare professionals and lack of leadership involvement on patient safety strategies for dedicating to patient safety actions. Most of the patient safety stakeholders agreed that the safety and health of clinical teams and new modalities of healthcare (such as telemedicine, home hospitalization, home care) should be a priority for patient safety strategies. Conclusions: In our study, we used a robust methodology with a participatory process involving different stakeholders. An alignment between local, regional, and national levels in terms of measuring indicators, the definition of priorities, and actions and activities to improve patient safety is recommended. Reinforced partnerships and alignment between the institution’s mission, and safety priorities will be crucial to enhance patient safety. Additionally, this work highlights the added value for health systems achieved through strong partnerships between public administration and academic institutions to improve healthcare quality and patient safetypt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPort J Public Health 2021;39:175–192pt_PT
dc.identifier.doi10.1159/000521722pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/41548
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectSegurança do Doentept_PT
dc.subjectQualidade de Cuidados de Saúdept_PT
dc.subjectPatient Safetypt_PT
dc.subjectQuality of Health Carept_PT
dc.titleContributions to the Portuguese National Plan for Patient Safety 2021–2026: A Robust Methodology Based on the Mixed-Method Approachpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage192pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage175pt_PT
oaire.citation.titlePortuguese Journal of Public Healthpt_PT
oaire.citation.volume39pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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