Disabilities and Patient Safety : Literature Study

Authors

  • Inge Dhamanti Departemen Administrasi dan Kebijakan Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Airlangga; Pusat Riset Keselamatan Pasien, Universitas Airlangga; School of Psychology and Public Health, La Trobe University, Australia
  • Andriyani Larasati Pusat Riset Keselamatan Pasien, Universitas Airlangga

DOI:

https://doi.org/10.25311/keskom.Vol10.Iss1.1443

Keywords:

Disability, patient safety, incident, medical error

Abstract

Improving the safety of vulnerable patient groups in health care is a priority. Patients with disabilities are among the most vulnerable groups. Persons with disabilities have more complex and extensive healthcare needs than non-disabled patients. This literature review aims to identify the types of patient safety incidents that can be used in patients with disabilities. The keywords "patient safety" and "disability" were used to search the Pubmed and Google Scholar databases for articles. The final results revealed four articles that met the inclusion criteria. The findings revealed that patients with disabilities are still frequently subjected to patient safety incidents such as falls, medication errors, infections, burns, and fluid leaks beneath the skin. According to the findings of the analysis using the Donabedian framework, there are still many problems that occur in structural components and processes, which can have an impact on the results obtained. Because of their vulnerability and uniqueness, patients with disabilities are more vulnerable to patient safety incidents. Furthermore, the issue of disability and patient safety remains the primary concern, so studies on disability and patient safety are still limited.

Downloads

Download data is not yet available.

Author Biography

Andriyani Larasati, Pusat Riset Keselamatan Pasien, Universitas Airlangga

 

 

 

References

Centers for Disease Control and Prevention. Disability and Health Overview. 2020.

Disabled World. Disabilities: Definition, Types and Models of Disability. 2021.

Government of Western Australia. What is disability? 2021.

WHO. Patient safety. Anales de Medicina Interna. 2017.

Arrieta A, Suárez G, Hakim G. Assessment of patient safety culture in private and public hospitals in Peru. Int J Qual Heal Care. 2017;30(3):1–6.

Albrecht RM. Patient safety: The what, how, and when. Am J Surg. 2015;210(6):978–82.

Hemsley B, Balandin S, Sheppard JJ, Georgiou A, Hill S. A call for dysphagia-related safety incident research in people with developmental disabilities. J Intellect Dev Disabil. 2015;40(1):99–103.

Flood B. Safety of People with Intellectual Disabilities in Hospital. What Can the Hospital Pharmacist Do to Improve Quality of Care? Pharmacy. 2017;5(44):1–8.

Hemsley B, Balandin S. A metasynthesis of patient-provider communication in hospital for patients with severe communication disabilities: Informing new translational research. AAC Augment Altern Commun. 2014;30(4):329–43.

Wijne IT, Goulding L, Gordon V, Abraham E, Giatras N, Edwards C, et al. The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. BMC Health Serv Res. 2014;14(432):1–13.

Hemsley B, Steel J, Worrall L, Hill S, Bryant L, Johnston L, et al. A systematic review of falls in hospital for patients with communication disability: Highlighting an invisible population. J Safety Res. 2019;68:89–105.

Louch G, Albutt A, Harlow-Trigg J, Moore S, Smyth K, Ramsey L, et al. Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: A scoping review. BMJ Open. 2021;11:1–14.

Javadi M, Zarea K. Understanding Thematic Analysis and its Pitfall. J Client Care. 2016;1(1):34–40.

Hartati N. Apakah sistem kekerabatan matrilinieal di suku Minang masih membudaya? Analisis tematik pada makna pemberian dukungan sosial mamak kepada kemenakan. J Psikol Sos. 2020;18(3):199–210.

Braun V, Clarke V. One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qual Res Psychol. 2020;1–24.

Sharma AE, Huang B, Del Rosario JB, Yang J, Boscardin WJ, Sarkar U. Patient and caregiver factors in ambulatory incident reports: A mixed-methods analysis. BMJ Open Qual. 2021;10:1–6.

Kim J, Major MJ, Hafner B, Sawers A. Frequency and Circumstances of Falls Reported by Ambulatory Unilateral Lower Limb Prosthesis Users: A Secondary Analysis. PM R. 2019;11(4):344–53.

Steel J, Georgiou A, Balandin S, Hill S, Worrall L, Hemsley B. A content analysis of documentation on communication disability in hospital progress notes: diagnosis, function, and patient safety. Clin Rehabil. 2019;33(5):943–56.

Daumit GL, McGinty EE, Pronovost P, Dixon LB, Guallar E, Ford DE, et al. Patient Safety Events and Harms During Medical and Surgical Hospitalizations for Persons With Serious Mental Illness. Psychiatr Serv. 2016;67(10):1068–75.

Mimmo L, Woolfenden S, Travaglia J, Harrison R. Partnerships for safe care: A meta-narrative of the experience for the parent of a child with Intellectual Disability in hospital. Heal Expect. 2019;22(6):1199–212.

Mimmo L, Harrison R, Hinchcliff R. Patient safety vulnerabilities for children with intellectual disability in hospital: A systematic review and narrative synthesis. BMJ Paediatr Open. 2018;2:1–7.

Astarini M, Tengko A, Lilyana M. Pengalaman Perawat Menerapkan Prosedur Keselamatan Pada Klien Lanjut Usia. Adi Husada Nurs J. 2021;7(1):5–13.

Budi SC, Sunartini S, Lazuardi L, Tetra FS. Tren Insiden Berdasarkan Sasaran Keselamatan Pasien. J Manaj Inf Kesehat Indones. 2019;7(2):141–6.

Isasih WD, Ernawaty E. The importance of indentifying patients correctly in hospital (based on donabedian model). Eur J Mol Clin Med. 2020;7(5):756–62.

Submitted

2023-01-03

Accepted

2023-06-05

Published

2024-03-31

How to Cite

1.
Dhamanti I, Larasati A. Disabilities and Patient Safety : Literature Study . J Keskom [Internet]. 2024 Mar. 31 [cited 2024 Apr. 22];10(1):15-23. Available from: https://jurnal.htp.ac.id/index.php/keskom/article/view/1443