SITUATION ANALYSIS TO UNDERSTAND THE PATIENT SAFETY CONTEXT AT PRIMARY AND SECONDARY HEALTH CARE FACILITIES IN BANGLADESH
Abstract
Patient safety is one of the major sectors of healthcare system. In developing countries like Bangladesh it is essential to establish the components of patient safety according to standard guideline to ensure a healthy nation. The study was done to explore the current situation of patient safety at primary and secondary healthcare facilities in Bangladesh. A qualitative and document review study was conducted during 1st March 2018 to 10th March 2018 on health Managers and store keepers of district hospitals and upazila (sub-district) health complexes. KII (n=7), IDI (n=7) were performed in the 3 district hospitals and 4 upazila health complexes. Thematic analysis was performed on different pertinent factors related to patient safety. Health managers mentioned that they have heard about patient safety but no one has the exact conception on it. As there is no protocol available patient safety as whole or specific sectors of patient safety, managers couldn’t maintain patient safety procedure properly. They also mentioned about lack of human resource is one of the big challenges for them. Store keepers’ said logistics and supplied medicines are not sufficient for indoor and out patients. A well-structured protocol is essential to ensure the patient safety of patients and healthcare providers as well. Proper patient safety practice is essential in health facilities of Bangladesh. It is very important to ensure the patient safety properly at these facilities. If patient safety can be establish properly at hospitals like other developed and SEA countries, then morbidity and mortality rate will decrease.
References
World Health Organization. Patient safety assessment manual. 2016. 1-236 p.
CDC. Healthcare-associated Infections. Heal Infect [Internet]. 2016;(February). Available from: http://www.cdc.gov/winnablebattles/healthcareassociatedinfections/
World Health Organization. Health care-associated infections Fact sheet. World Heal Organ [Internet]. 2015;4. Available from: http://www.who.int/gpsc/country_work/ gpsc_ccisc_ fact_sheet_en.pdf
Mehta Y, Gupta A, Todi S, Myatra S, Samaddar DP, Patil V, et al. Guidelines for prevention of hospital acquired infections. Indian J Crit Care Med. 2014 Mar;18(3):149–63.
World Health Organization (WHO). Regional strategy for patient safety in the WHO South-East Asia Region (2016–2025). 2016.
Welsh Health, Boards. HAI - A Strategy for Hosps in Wales. Public Health.
Equipment-cleaning-policy-LD.pdf.
Topic 11 : Improving medication safety Why focus on medications ? :229–44.
Newcastle T, Nhs H, Trust F. Policy and Governance Arrangements for Medicines Management. 2014;
Documentation of Medical Records Documentation of Medical Records.
Officer MS, Hospital B. Building The Structures : Medication Safety as a Clinical Governance issue. 2016;(October).
Commission A, Care H. Safety and Quality Improvement Guide Standard 5: Patient Identification and Procedure Matching. 2012.
AMA. Safe Handover: Safe Patients; Guidelines on Clinical Handover for Clinicians and Managers. Aust Med Assoc [Internet]. 2006;47. Available from: https:// ama.com.au/ama-clinical-handover-guide-safe-handover-safe-patients
Australian Council for Safety and Quality in Health Care. Clinical Handover and Patient Safety Literature Review Report. Clin Handover Patient Saf Lit Rev Rep [Internet]. 2005;(December):1–40. Available from: http://online.isdemasters.com/pluginfile.php/ 23213/mod_folder/content/0/2005_Handover.pdf?forcedownload=1%5Cnpapers3://publication/uuid/A94C22BC-CDB5-4694-B3A0-3C77F5B0F82A
