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@article{O'Brien,
author = {O'Brien, N and Shaw, A and Flott, K and Leatherman, S and Durkin, M},
journal = {Journal of Global Health},
title = {Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions},
url = {http://hdl.handle.net/10044/1/93437},
}
TY - JOUR
AB - BackgroundThe number of people living in fragile, conflict-affected, and vulnerable (FCV) settings is growing rapidly and attention to achieving universal health coverage must be accompanied by sufficient focus on the safety of care for universal access to be meaningful. Healthcare workers in these settings are working under extreme conditions, often with insufficient contextualized evidence to support decision-making. Recognising the relative paucity of, and methodological issues in gathering evidence from these settings, the evidence scanning described in this paper considered which patient safety interventions might offer the ‘better bet’, e.g., the most effective and appropriate intervention in FCV settings.MethodsAn evidence scanning approach was used to examine the literature. The search was limited to FCV settings and low-income settings as defined by the World Bank, but if a systematic review included a mix of evidence from FCV/low income settings, as well as low-middle income settings, it was included. The search was conducted in English and limited to studies published from 2003 onwards, utilising Google Scholar as a publicly accessible database and further review of the grey literature, with specific attention to the outputs of non-governmental organisations. The search and subsequent analysis were completed between April and June 2020.FindingsThe majority of studies identified related to strengthening infection prevention and control which was also found to be the ‘better bet’ intervention that could generalise to other settings, be most feasible to implement, and most effective for improving patient care and associated outcomes. Other prioritized interventions include risk management, with contributing elements such as reporting, audits, and death review processes.ConclusionsInfection prevention and control interventions dominate in the literature for multiple reasons including strength of evidence, acceptability, feasibility, an
AU - O'Brien,N
AU - Shaw,A
AU - Flott,K
AU - Leatherman,S
AU - Durkin,M
SN - 2047-2978
TI - Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions
T2 - Journal of Global Health
UR - http://hdl.handle.net/10044/1/93437
ER -