Document Type : Review article

Authors

1 PhD Student in Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran

2 Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran.

3 Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran

4 Shahrekord University of Medical Sciences, Nursing Department

Abstract

Background and aims: Patient safety, as one of the main components of the health care quality, implies
avoiding any injury and damage to the patient when providing health care services. In other words,
patient safety means his or her safety against any adverse and harmful event when receiving health care
services. Based on the above-mention explanations, the present study was conducted to determine the
patterns of patient safety management.
Methods: A systematic review method was used to meet the objectives of the study. In order to access
the scientific documentation and evidence related to the subject published during 1998-2018, English
keywords including “Patient Safety Model”, “Patient Safety”, and “Patient Safety of Management” were
searched in Medine, PubMed, and Google Scholar databases and Persian versions of these keywords
were also looked for in Jihad-e Daneshgahi’s Scientific Information Database (SID) and Iranian Journals
database (Magiran).
Results: The findings of this study suggested that most of the studies on designing a model for patient
safety highlighted important dimensions including guidance and leadership, communication,
organizing, information management, control and monitoring, participation and decision-making, as
well as planning and coordination.
Conclusion: In general, using patterns and frameworks designed for patient safety improves patient
safety against uncertain incidents since the human and financial consequences of such incidents
impose overwhelming sufferings on patients.

Keywords

Main Subjects

1.Shali M, Joolaee S, Hooshmand A, Haghani H. Committed Nurse: This Patient is wrong. Medical Ethics Journal. 2016;10(34):11-30. [Persian]. 
2.Akbari R, Zarei E, Gholami A, Mousavi H. A survey of patient safety culture: A tool for improving patient safety in healthcare providers service organizations. Iran Occupational Health. 2015;12(4):76-88. [Persian]. 
3.Arshadi Bostanabad M, Jebreili M, Kargari Rezapour M. Patient safety culture assessment in neonatal intensive care units of Tabriz from the perspective of nurses in 2013. Iranian Journal of Nursing Research. 2015;3(38):26-35. [Persian]. 
4.World Health Organization (WHO). Definitions of key concepts from the WHO patient safety curriculum guide (2011). WHO; 2018. 
5.Mayelafshar M, Memarpour M, Riahi L. The Relationship Between the Type of Medication Errors Reported and Patient Safety Standards in a Public Hospital in Tehran City. Journal of School of Public Health and Institute of Public Health Research. 2017;15(3):252-66. [Persian]. 
6.Mohebifar R, Alijanzadeh M, Safari Variani A, Khoshtarkib H, Ghanati E, Teymouri F, et al. Studying patient safety culture from the viewpoint of staffs in educational hospitals in Tehran City. Journal of Health and Safety at Work. 2015;5(1):57-64. [Persian]. 
7.Razavi F, Mazloomi N, Torkestani Ms. Assessing hospitals clinical risk management. Quarterly Journal of Nersing Management. 2016;5(1):49-59. doi: 10.29252/ijnv.5.1.49. [Persian]. 
8.Najafpour Z, Pourreza A. The Analysis Of Safe Clinical Services Indicators Of Tehran University Of Medical Sciences Selected Hospitals. Payavard Salamat. 2016;9(6):566-78. [Persian]. 
9.Bayatmanesh H, Zagheri Tafreshi M, Manoochehri H, Akbarzadeh Baghban A. Evaluation of Patient-Related Nursing Care with Standards in Intensive Care Unit (ICU). Armaghane Danesh. 2017;22(3):375-89. [Persian]. 
10.Nobahar M. Professional errors and patient safety in intensive cardiac care unit. Journal of Holistic Nursing and Midwifery. 2015;25(3):63-73. [Persian]. 
11.Shamsadini Lori A, Osta A, Atashbahar O, Ramazani S, Pourahmadi M, Ahmadi Kashkoli S. Patient Safety Culture from the Viewpoint of Nurses of Teaching Hospitals Affiliated with Shahid Beheshti University of Medical Sciences. Journal of Health Based Research. 2016;2(1):81-92. [Persian]. 
12.Baghaei R, Pourrashid S, Khalkhali H. The effect of using SBAR model in nursing handoff on communication dimension of nursing care from the patients’ view. Journal of Nursing and Midwifery Urmia University of Medical Sciences. 2016;14(6):562-70. [Persian]. 
13.Lee CT, Doran DM. The Role of Interpersonal Relations in Healthcare Team Communication and Patient Safety: A Proposed Model of Interpersonal Process in Teamwork. Can J Nurs Res. 2017;49(2):75-93. doi: 10.1177/0844562117699349.
14.Raazmara MR, Jani MR, Moudi A, Sarvari MH, Drogar Z, Zolfaghri HR, et al. Prioritization of contributing factors on patient safety by analytical hierarchy process. Quarterly Journal of Nersing Management. 2016;5(1):70-8. doi: 10.29252/ijnv.5.1.78. [Persian]. 
15.Rabeian M, Masoudi Asl I, Nazari H, Azari S. Studying TUMS Hospital Managers’ Viewpoints Regarding the Observance of Total Quality Management Components in 2012. Payavard Salamat. 2017;11(3):104-
11.[Persian]. 16. Parker D. Managing risk in healthcare: understanding your safety culture using the Manchester Patient Safety Framework (MaPSaF). J Nurs Manag. 2009;17(2):218-22. doi: 10.1111/j.1365-2834.2009.00993.x.
17.Jozi SA, Gholamnia R, Ramezani H. Evaluate the effectiveness of training programs in HSE management system using the EFQM Excellence Model Guide (case study: Center of Research and Training for Occupational Technical safety and Health). Journal of Occupational Hygiene Engineering. 2017;4(1):1-9. doi: 10.21859/johe-04011. [Persian]. 
18.Sakai R. H-I Model: Basic Framework of Sciences and Technologies in Patient Safety. Journal of Medical Safety. 2016;1(1):6-7.
19.Edwards MT. An organizational learning framework for patient safety. Am J Med Qual. 2017;32(2):148-55. doi: 10.1177/1062860616632295. 
20.Nuntawinit C, Wongkhomthong J, Luangamornlert S, Chomson S. A model of safety performance in perioperative registered nurses. Siriraj Med J. 2017;61(6):292-6. 
21.van Gelderen SC, Hesselink G, Westert GP, Robben PB, Boeijen W, Zegers M, et al. Optimal governance of patient safety: A qualitative study on barriers to and facilitators for effective internal audit. J Hosp Adm. 2017;6(3):15-25. doi: 10.5430/jha.v6n3p15. 
22.Panesar SS, deSilva D, Carson-Stevens A, Cresswell KM, Salvilla SA, Slight SP, et al. How safe is primary care? A systematic review. BMJ Qual Saf. 2016;25(7):544-53. doi: 10.1136/bmjqs-2015-004178. 
23.Campbell SM, Reeves D, Kontopantelis E, Sibbald B, Roland M. Effects of pay for performance on the quality of primary care in England. N Engl J Med. 2009;361(4):368-78. doi: 10.1056/NEJMsa0807651. 
24.Lenburg CB, Klein C, Abdur-Rahman V, Spencer T, Boyer S. The COPA model: a comprehensive framework designed to promote quality care and competence for patient safety. Nurs Educ Perspect. 2009;30(5):312-7. 
25.Doroudi H, Shami R, Gharehbaghi H. Nurses Viewpoints on Relationship between Components of Working System of Nurses with Patients Safety Using Sips Model. Preventive Care in Nursing & Midwifery Journal. 2015;5(2):75-83. [Persian]. 
26.Mostadam M, Raissi S, Haghighirad F. Improving Patient’s Satisfaction Index in a Given Healthcare Center Using the Six Sigma Methodology. Journal of Healthcare Management. 2014;5(2):55-65. [Persian]. 
27.Cook R, Rasmussen J. “Going solid”: a model of system dynamics and consequences for patient safety. Qual Saf Health Care. 2005;14(2):130-4. doi: 10.1136/qshc.2003.009530. 
28.Mosadeghrad AM, Arab M, Shahidi Sadeghi N. A survey of clinical governance success in Tehran hospitals. Hakim Research Journal. 2016;19(3):129-40. [Persian]. 
29.Kavosi Z, Setoodehzadeh F, Fardid M, Gholami M, Khojastefar M, Hatam M, et al. Risk Assessment of the Processes of Operating Room Department using the Failure Mode and Effects Analysis (FMEA) Method. Hospital. 2017;16(3):57-70. [Persian]. 
30.Khanna N, Shaya FT, Gaitonde P, Abiamiri A, Steffen B, Sharp D. Evaluation of PCMH Model Adoption on Teamwork and Impact on Patient Access and Safety. J Prim Care Community Health. 2017;8(2):77-82. doi: 10.1177/2150131916678496. 
31.Zagheri Tafreshi M, Rassouli M, Zayeri F, Pazookian M. Development of nurses’ medication error model: mixed method. Quarterly Journal of Nersing Management. 2014;3(3):35-50. [Persian]. 
32.Edwards MT. An Organizational Learning Framework for Patient Safety. Am J Med Qual. 2017;32(2):148-55. doi: 10.1177/1062860616632295. 
33.Institute for Healthcare Improvement (IHI). SBAR Tool: Situation, Background, Assessment, Recommendation. Available from: http://www.ihi.org/resources/Pages/Tools/ SBARToolkit.aspx.