PMID- 38536223
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240425
IS  - 1929-0748 (Print)
IS  - 1929-0748 (Electronic)
IS  - 1929-0748 (Linking)
VI  - 13
DP  - 2024 Mar 27
TI  - Assessment of Patient Safety in a Low-Resource Health Care System: Proposal for a 
      Multimethod Study.
PG  - e50532
LID - 10.2196/50532 [doi]
LID - e50532
AB  - BACKGROUND: The high prevalence of adverse events (AEs) globally in health care 
      delivery has led to the establishment of many guidelines to enhance patient 
      safety. However, patient safety is a relatively nascent concept in low- and 
      middle-income countries (LMICs) where health systems are already overburdened and 
      underresourced. This is why it is imperative to study the nuances of patient 
      safety from a local perspective to advocate for the judicious use of scarce 
      public health resources. OBJECTIVE: This study aims to assess the status of 
      patient safety in a health care system within a low-resource setting, using a 
      multipronged, multimethod approach of standardized methodologies adapted to the 
      local setting. METHODS: We propose purposive sampling to include a representative 
      mix of public and private, rural and urban, and tertiary and secondary care 
      hospitals, preferably those ascribed to the same hospital quality standards. Six 
      different approaches will be considered at these hospitals including (1) focus 
      group discussions on the status quo of patient safety, (2) Hospital Survey on 
      Patient Safety Culture, (3) Hospital Consumer Assessment of Healthcare Providers 
      and Systems, (4) estimation of incidence of AEs identified by patients, (5) 
      estimation of incidence of AEs via medical record review, and (6) assessment 
      against the World Health Organization's Patient Safety Friendly Hospital 
      Framework via thorough reviews of existing hospital protocols and in-person 
      surveys of the facility. RESULTS: The abovementioned studies collectively are 
      expected to yield significant quantifiable information on patient safety 
      conditions in a wide range of hospitals operating within LMICs. CONCLUSIONS: A 
      multidimensional approach is imperative to holistically assess the patient safety 
      situation, especially in LMICs. Our low-budget, non-resource-intensive research 
      proposal can serve as a benchmark to conduct similar studies in other health care 
      settings within LMICs. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): 
      PRR1-10.2196/50532.
CI  - (c)Ghazal Haque, Fozia Asif, Fasih Ali Ahmed, Farwa Ayub, Sabih ul Hassan Syed, 
      Nousheen Akber Pradhan, Malika Hameed, Muhammad Muneeb Ullah Siddiqui, Shafaq 
      Mahmood, Tahani Zaidi, Sameen Siddiqi, Asad Latif. Originally published in JMIR 
      Research Protocols (https://www.researchprotocols.org), 27.03.2024.
FAU - Haque, Ghazal
AU  - Haque G
AUID- ORCID: 0000-0002-0024-780X
AD  - Center for Patient Safety, Aga Khan University, Karachi, Pakistan.
FAU - Asif, Fozia
AU  - Asif F
AUID- ORCID: 0000-0003-0319-9329
AD  - Center for Patient Safety, Aga Khan University, Karachi, Pakistan.
FAU - Ahmed, Fasih Ali
AU  - Ahmed FA
AUID- ORCID: 0000-0002-6648-5237
AD  - Center for Patient Safety, Aga Khan University, Karachi, Pakistan.
FAU - Ayub, Farwa
AU  - Ayub F
AUID- ORCID: 0009-0008-9004-8716
AD  - Center for Patient Safety, Aga Khan University, Karachi, Pakistan.
FAU - Syed, Sabih Ul Hassan
AU  - Syed SUH
AUID- ORCID: 0000-0001-8443-134X
AD  - Center for Patient Safety, Aga Khan University, Karachi, Pakistan.
FAU - Pradhan, Nousheen Akber
AU  - Pradhan NA
AUID- ORCID: 0000-0003-3141-2481
AD  - Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan.
FAU - Hameed, Malika
AU  - Hameed M
AUID- ORCID: 0000-0002-4060-5026
AD  - Department of Anesthesiology, Aga Khan University Medical College, Karachi, 
      Pakistan.
FAU - Siddiqui, Muhammad Muneeb Ullah
AU  - Siddiqui MMU
AUID- ORCID: 0000-0002-3031-6351
AD  - Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan.
FAU - Mahmood, Shafaq
AU  - Mahmood S
AUID- ORCID: 0000-0002-8139-7040
AD  - Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan.
FAU - Zaidi, Tahani
AU  - Zaidi T
AUID- ORCID: 0000-0003-3889-9712
AD  - Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan.
FAU - Siddiqi, Sameen
AU  - Siddiqi S
AUID- ORCID: 0000-0001-8289-0964
AD  - Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan.
FAU - Latif, Asad
AU  - Latif A
AUID- ORCID: 0000-0002-1298-1198
AD  - Center for Patient Safety, Aga Khan University, Karachi, Pakistan.
AD  - Department of Anesthesiology, Aga Khan University Medical College, Karachi, 
      Pakistan.
LA  - eng
PT  - Journal Article
DEP - 20240327
PL  - Canada
TA  - JMIR Res Protoc
JT  - JMIR research protocols
JID - 101599504
PMC - PMC11007612
OTO - NOTNLM
OT  - assessment
OT  - health system
OT  - health systems
OT  - healthcare delivery
OT  - hospital
OT  - low-middle-income countries
OT  - patient safety
OT  - quality assessment
OT  - research methodology
OT  - safety culture
COIS- Conflicts of Interest: None declared.
EDAT- 2024/03/27 12:46
MHDA- 2024/03/27 12:47
PMCR- 2024/03/27
CRDT- 2024/03/27 11:54
PHST- 2023/08/15 00:00 [received]
PHST- 2024/01/19 00:00 [accepted]
PHST- 2024/01/09 00:00 [revised]
PHST- 2024/03/27 12:47 [medline]
PHST- 2024/03/27 12:46 [pubmed]
PHST- 2024/03/27 11:54 [entrez]
PHST- 2024/03/27 00:00 [pmc-release]
AID - v13i1e50532 [pii]
AID - 10.2196/50532 [doi]
PST - epublish
SO  - JMIR Res Protoc. 2024 Mar 27;13:e50532. doi: 10.2196/50532.