Disabilities and Patient Safety : Literature Study


  • 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




Disability, patient safety, incident, medical error


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.


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Author Biography

Andriyani Larasati, Pusat Riset Keselamatan Pasien, Universitas Airlangga





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Government of Western Australia. What is disability? 2021.

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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.

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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.

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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.

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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.

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How to Cite

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