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Sustaining perioperative patient safety improvement

2025-10-01Artigo científico Acesso aberto
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dc.contributor.authorSAFEST Consortium
dc.contributor.authorKristensen, Kaja
dc.contributor.authorWang, Sophie
dc.contributor.authorVelasco, Daniel Arnal
dc.contributor.authorPõlluste, Kaja
dc.contributor.authorŽaludek, Adam
dc.contributor.authorSousa, Paulo
dc.contributor.authorOrrego, Carola
dc.contributor.authorGroene, Oliver
dc.contributor.authorArnal-Velasco, Daniel
dc.contributor.authorBaneres, Joaquim
dc.contributor.authorBartakke, Ashish
dc.contributor.authorCalsbeek, Hiske
dc.contributor.authorCarrasco, Genis
dc.contributor.authorCasaca-Carvalho, Pedro
dc.contributor.authorDe Robertis, Edoardo
dc.contributor.authorEmond, Yvette
dc.contributor.authorFabregas, Neus
dc.contributor.authorGarcía-Silva, Javier
dc.contributor.authorGarel, Pascal
dc.contributor.authorGroene, Oliver
dc.contributor.authorHeideveld-Chevalking, Anita
dc.contributor.authorKangasniemi, Mari
dc.contributor.authorKommusaar, Janne
dc.contributor.authorKristensen, Kaja
dc.contributor.authorLeite, Andreia
dc.contributor.authorLeon, Irene
dc.contributor.authorMartínez-Nicolás, Ismael
dc.contributor.authorMarx, David
dc.contributor.authorNabbe, Marie
dc.contributor.authorNunes, Ana Beatriz
dc.contributor.authorOrrego, Carola
dc.contributor.authorPolluste, Kaja
dc.contributor.authorPühvel, Janne
dc.contributor.authorRomero-Garcia, Eva
dc.contributor.authorSanduende-Otero, Yolanda
dc.contributor.authorSchäfer, Willemijn
dc.contributor.authorSchlinkert, Caroline
dc.contributor.authorSeyfulayeva, Ayshe
dc.contributor.authorSoria-Aledo, Victor
dc.contributor.authorSousa, Paulo
dc.contributor.authorStarkopf, Joel
dc.contributor.authorSunol, Rosa
dc.contributor.authorVall, Helena
dc.contributor.authorValli, Claudia
dc.contributor.authorVan Der Schoot, Nina
dc.contributor.authorVan Tuyl, Lilian
dc.contributor.authorVlcek, Frantisek
dc.contributor.authorVoshaar, Marieke
dc.contributor.authorWagner, Cordula
dc.contributor.authorWang, Sophie
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.pblOxford University Press
dc.date.accessioned2026-01-14T15:57:17Z
dc.date.available2026-01-14T15:57:17Z
dc.date.issued2025-10-01
dc.descriptionPublisher Copyright: © 2025 The Author(s). Published by Oxford University Press on behalf of International Society for Quality in Health Care.
dc.description.abstractBackground Perioperative patient safety aims to minimize risk and reduce adverse events throughout the surgical journey. Despite investments in national and international initiatives, sustaining these efforts remains a challenge. Contextual factors such as national policies and legal requirements play a key role in ensuring long-term success. This qualitative study examines the national patient safety policies and frameworks in five European countries and investigates contextual factors to understand how these policies may affect the implementation and sustainability of perioperative patient safety initiatives. Methods Semi-structured interviews were conducted with decision-makers from Ministries of Health, regulatory or accreditation bodies, professional medical or scientific societies, managerial hospital staff, and academic patient safety experts from Spain, the Netherlands, Portugal, Estonia, and the Czech Republic. A desktop search for relevant policy and regulatory frameworks around perioperative patient safety informed the development of the semi-structured interview guide. Generated data were coded using an a priori framework adapted from the updated Consolidated Framework for Implementation Research (CFIR) and a framework for assessing health systems' quality improvement and patient safety initiatives. Using content analysis, codes were thematically analysed to delineate and compare the perioperative patient safety landscapes of the five countries. Results In total, 28 high-level decision-makers were interviewed. Based on the insight from interviewees, a patient safety policy profile was generated for each of the five countries, capturing the key features of their frameworks and strategies. While all countries have developed policies to improve patient safety, the scope and structure of these frameworks vary widely. Some countries have established centralized systems with detailed national action plans and robust oversight mechanisms, whereas others rely on more fragmented approaches with responsibilities distributed across various organizations. Common challenges identified include the inconsistent integration of patient safety education into medical curricula and cultural barriers, such as a fear of blame that affects reporting practices. Interviewees provided several propositions how project-based patient safety initiatives could be embedded in national contexts. These propositions differed considerably between countries. Conclusion This study highlights the diverse and evolving nature of patient safety policy landscapes across five European countries. The varying scope, structure, and implementation of patient safety frameworks emphasize the need for context-specific approaches to promote the sustainability of perioperative patient safety initiatives. As the field continues to advance, it is important to tailor approaches that aim to sustain patient safety initiatives.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent945699
dc.identifier.doi10.1093/intqhc/mzaf105
dc.identifier.issn1353-4505
dc.identifier.otherPURE: 149238340
dc.identifier.otherPURE UUID: 1cc45895-a4e1-4331-8e99-6e35f096065a
dc.identifier.otherScopus: 105021663955
dc.identifier.otherPubMed: 41056419
dc.identifier.otherPubMedCentral: PMC12611545
dc.identifier.otherWOS: 001613295200001
dc.identifier.otherORCID: /0000-0001-9502-6075/work/201873238
dc.identifier.otherORCID: /0000-0003-0843-0630/work/201874156
dc.identifier.urihttp://hdl.handle.net/10362/199098
dc.identifier.urlhttps://www.scopus.com/pages/publications/105021663955
dc.language.isoeng
dc.peerreviewedyes
dc.subjecthealth policy
dc.subjectpatient safety
dc.subjectqualitative methods
dc.subjectquality improvement
dc.subjectSAFEST
dc.subjectHealth Policy
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleSustaining perioperative patient safety improvementen
dc.title.subtitlethe relevance of patient safety policies and contextual factors in European healthcare systemsen
dc.typejournal article
degois.publication.issue4
degois.publication.titleInternational Journal For Quality In Health Care
degois.publication.volume37
dspace.entity.typePublication
rcaap.rightsopenAccess

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