Interventions to Increase Patient Safety in Long-Term Care Facilities—Umbrella Review

Jakub Świtalski (), Katarzyna Wnuk, Tomasz Tatara, Wojciech Miazga, Ewa Wiśniewska, Tomasz Banaś, Olga Partyka, Katarzyna Karakiewicz-Krawczyk, Justyna Jurczak, Mateusz Kaczmarski, Grażyna Dykowska, Aleksandra Czerw and Elżbieta Cipora
Additional contact information
Jakub Świtalski: Department of Health Economics and Medical Law, Faculty of Health Sciences, Medical University of Warsaw, 01-445 Warsaw, Poland
Katarzyna Wnuk: Department of Health Policy Programs, Department of Health Technology Assessment, Agency for Health Technology Assessment and Tariff System, 00-032 Warsaw, Poland
Tomasz Tatara: Department of Health Policy Programs, Department of Health Technology Assessment, Agency for Health Technology Assessment and Tariff System, 00-032 Warsaw, Poland
Wojciech Miazga: Department of Health Policy Programs, Department of Health Technology Assessment, Agency for Health Technology Assessment and Tariff System, 00-032 Warsaw, Poland
Ewa Wiśniewska: Department of Health Economics and Medical Law, Faculty of Health Sciences, Medical University of Warsaw, 01-445 Warsaw, Poland
Tomasz Banaś: Department of Gynecology and Obstetrics, Jagiellonian University Medical College, 31-501 Cracow, Poland
Olga Partyka: Department of Health Economics and Medical Law, Faculty of Health Sciences, Medical University of Warsaw, 01-445 Warsaw, Poland
Katarzyna Karakiewicz-Krawczyk: Department of Clinical Nursing, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland
Justyna Jurczak: Department of Social Medicine and Public Health, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland
Mateusz Kaczmarski: Medical Institute, Jan Grodek State University in Sanok, 38-500 Sanok, Poland
Grażyna Dykowska: Department of Health Economics and Medical Law, Faculty of Health Sciences, Medical University of Warsaw, 01-445 Warsaw, Poland
Aleksandra Czerw: Department of Health Economics and Medical Law, Faculty of Health Sciences, Medical University of Warsaw, 01-445 Warsaw, Poland
Elżbieta Cipora: Medical Institute, Jan Grodek State University in Sanok, 38-500 Sanok, Poland

IJERPH, 2022, vol. 19, issue 22, 1-20

Abstract: Introduction: Patient safety in long-term care is becoming an increasingly popular subject in the scientific literature. Organizational problems such as shortages of medical staff, insufficient numbers of facilities or underfunding increase the risk of adverse events, and aging populations in many countries suggests that these problems will become more and more serious with each passing year. The objective of the study is to identify interventions that can contribute to increasing patient safety in long-term care facilities. Method: A systematic review of secondary studies was conducted in accordance with the Cochrane Collaboration guidelines. Searches were conducted in Medline (via PubMed), Embase (via OVID) and Cochrane Library. The quality of the included studies was assessed using AMSTAR2. Results: Ultimately, 10 studies were included in the analysis. They concerned three main areas: promoting safety culture, reducing the level of occupational stress and burnout, and increasing the safety of medication use. Promising methods that have an impact on increasing patient safety include: preventing occupational burnout of medical staff, e.g., by using mindfulness-based interventions; preventing incidents resulting from improper administration of medications, e.g., by using structured methods of patient transfer; and the use of information technology that is more effective than the classic (paper) method or preventing nosocomial infections, e.g., through programs to improve the quality of care in institutions and the implementation of an effective infection control system. Conclusions: Taking into account the scientific evidence found and the guidelines of institutions dealing with patient safety, it is necessary for each long-term care facility to individually implement interventions aimed at continuous improvement of the quality of care and patient safety culture at the level of medical staff and management staff.

Keywords: patient safety; long-term care; elderly people (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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