Covid-19 Research

Research Article

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Patient Safety in the Primary Healthcare Settings

Medicine Group    Start Submission

Faisal Abdullatif Alnaser*

Volume6-Issue7
Dates: Received: 2025-07-08 | Accepted: 2025-07-21 | Published: 2025-07-27
Pages: 938-947

Abstract

To ensure quality healthcare, particularly in Primary Healthcare (PHC) settings, Patient Safety (PS) is a requirement. Since PHC facilities are typically where patients initiate their healthcare experience, it is essential to implement PS measures while providing an environment that enables capable clinicians to obtain accurate diagnoses, initiate effective treatment, and offer recommendations in a supportive and resilient setting for the continuation of care. Ultimately, the only way people can maintain and sustain their health is by receiving safe, effective, high-quality care tailored to their specific needs. PS is essential to the practice of care in primary, secondary, and tertiary care; however, there are limited PS studies conducted in primary healthcare settings, whereas most PS work has been done in secondary and tertiary healthcare settings. Nonetheless, PS events are generally lower in PHC settings compared to hospital environments. Each year, across the globe, countless individuals are dying, being injured, or being disabled from unsafe medical procedures, highlighting the urgent and global impact of patient safety. Although, statistics measuring the rates of PS events in the PHC systems of developed countries are limited, a 2011 study from the US estimated that PS events occur at a rate of 2.2%. Other estimates have suggested that up to 80% of PS events are preventable, and approximately 40% of patients experience harm during outpatient medical treatment. Safety strategies can help improve patient safety and the quality of care for patients, the effectiveness of healthcare systems, and the proficiency of healthcare workers, regardless of the care setting. Therefore, PS must always be the top priority in all healthcare settings.

FullText HTML FullText PDF DOI: 10.37871/jbres2148


Certificate of Publication




Copyright

© 2025 Alnaser FA, Distributed under Creative Commons CC-BY 4.0

How to cite this article

Alnaser FA. Patient Safety in the Primary Healthcare Settings. J Biomed Res Environ Sci. 2025 Jul 27; 6(7): 938-947. doi: 10.37871/jbres2148, Article ID: JBRES2148, Available at: https://www.jelsciences.com/articles/jbres2148.pdf


Subject area(s)

References


  1. Patient safety. WHO.
  2. Farhan Hamoud W Alruwaili. The role of health information technology in reducing medical errors. Letters in High Energy Physics. 2023;2:1503-1517
  3. To Err is human: Building a safer health system. Kohn LT, Corrigan JM, Donaldson MS, editors. Washington (DC): Institute of Medicine (US) Committee on Quality of Health Care in America. National Academies Press (US); 2000.
  4. Kohn Linda, Corrigan Janet, Donaldson Molla. To err is human: Building a safer health system. 2000.
  5. Mistri IU, Badge A, Shahu S. Enhancing Patient Safety Culture in Hospitals. Cureus. 2023 Dec 27;15(12):e51159. doi: 10.7759/cureus.51159. PMID: 38283419; PMCID: PMC10811440.
  6. Hibbert PD, Stewart S, Wiles LK, Braithwaite J, Runciman WB, Thomas MJW. Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts. Int J Qual Health Care. 2023 Nov 17;35(4):0. doi: 10.1093/intqhc/mzad088. PMID: 37978851; PMCID: PMC10656601.
  7. Clancy CM, Farquhar MB, Sharp BA. Patient safety in nursing practice. J Nurs Care Qual. 2005 Jul-Sep;20(3):193-7. doi: 10.1097/00001786-200507000-00001. PMID: 15965381.
  8. A framework for managing the quality of health services in New South Wales (PD 2005_585). Sydney: NSW Department of Health. 2005.
  9. The NHS patient safety strategy. Safer culture, safer systems, safer patients. NHS England. 2019.
  10. Draft for public consultation. Australian Commission on Safety and Quality in Health. 2010.
  11. Murray Christopher JL, Lopez Alan D. The Global burden of disease: A comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020. In: Christopher JL Murray, Alan D Lopez, editors. World Health Organization. World Bank, & Harvard School of Public Health; ‎1996‎.
  12. Souza MM, Ongaro JD, Lanes TC, Andolhe R, Kolankiewicz ACB, Magnago TSBS. Patient safety culture in the Primary Health Care. Rev Bras Enferm. 2019 Jan-Feb;72(1):27-34. English, Portuguese. doi: 10.1590/0034-7167-2017-0647. PMID: 30916264.
  13. Nieva VF, Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organizations. Qual Saf Health Care. 2003 Dec;12 Suppl 2(Suppl 2):ii17-23. doi: 10.1136/qhc.12.suppl_2.ii17. PMID: 14645891; PMCID: PMC1765782.
  14. Slawomirski L, N Klazinga. The economics of patient safety: From analysis to action”, OECD Health Working Papers. OECD Publishing, Paris. 2022;145. doi: 10.1787/761f2da8-en.
  15. Panagioti M, Khan K, Keers RN, Abuzour A, Phipps D, Kontopantelis E, Bower P, Campbell S, Haneef R, Avery AJ, Ashcroft DM. Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. BMJ. 2019 Jul 17;366:l4185. doi: 10.1136/bmj.l4185. PMID: 31315828; PMCID: PMC6939648.
  16. Hodkinson A, Tyler N, Ashcroft DM, Keers RN, Khan K, Phipps D, Abuzour A, Bower P, Avery A, Campbell S, Panagioti M. Preventable medication harm across health care settings: a systematic review and meta-analysis. BMC Med. 2020 Nov 6;18(1):313. doi: 10.1186/s12916-020-01774-9. PMID: 33153451; PMCID: PMC7646069.
  17. Gaal S, Verstappen W, Wolters R, Lankveld H, van Weel C, Wensing M. Prevalence and consequences of patient safety incidents in general practice in the Netherlands: a retrospective medical record review study. Implement Sci. 2011 Apr 6;6:37. doi: 10.1186/1748-5908-6-37. PMID: 21470418; PMCID: PMC3080333.
  18. Auraaen A, L Slawomirski, N Klazinga. The economics of patient safety in primary and ambulatory care: Flying blind. OECD Health Working Papers. OECD Publishing, Paris. 2018;106. doi: 10.1787/baf425ad-en.
  19. Panesar SS, deSilva D, Carson-Stevens A, Cresswell KM, Salvilla SA, Slight SP, Javad S, Netuveli G, Larizgoitia I, Donaldson LJ, Bates DW, Sheikh A. How safe is primary care? A systematic review. BMJ Qual Saf. 2016 Jul;25(7):544-53. doi: 10.1136/bmjqs-2015-004178. Epub 2015 Dec 29. PMID: 26715764.
  20. Garzón González G, Alonso Safont T, Zamarrón Fraile E, Cañada Dorado A, Luaces Gayan A, Conejos Míquel D, Villanueva Sanz C, Aguado Arroyo O, Jurado Balbuena JJ, Castelo Jurado M, Magán Tapia P, Barberá Martín A, Toribio Vicente MJ, Drake Canela M, San José Saras D, Mediavilla Herrera I. Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable. Int J Qual Health Care. 2023 Apr 29;35(2):mzad019. doi: 10.1093/intqhc/mzad019. Erratum in: Int J Qual Health Care. 2023 May 25;35(2):mzad033. doi: 10.1093/intqhc/mzad033. PMID: 37043330; PMCID: PMC10148678.
  21. Hughes RG. Tools and Strategies for Quality Improvement and Patient Safety. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 44. PMID: 21328781.
  22. Thomas EJ, Petersen LA. Measuring errors and adverse events in health care. J Gen Intern Med. 2003 Jan;18(1):61-7. doi: 10.1046/j.1525-1497.2003.20147.x. PMID: 12534766; PMCID: PMC1494808.
  23. Mitchell PH. Defining Patient Safety and Quality Care. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 1. PMID: 21328780.
  24. Alotaibi YK, Federico F. The impact of health information technology on patient safety. Saudi Med J. 2017 Dec;38(12):1173-1180. doi: 10.15537/smj.2017.12.20631. PMID: 29209664; PMCID: PMC5787626.


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