Patient safety issues and concerns in Bhutan's healthcare system: a qualitative exploratory descriptive study Pelzang, Rinchen and Hutchinson, Alison M 2018, Patient safety issues and concerns in Bhutan's healthcare system: a qualitative exploratory descriptive study, BMJ open, vol. 8, no. 7, pp. 1-11, doi: 10.1136/bmjopen-2018-022788. Attached Files Name Description MIMEType Size Downloads hutchinson-patientsafetyissues-2018.pdf Published version application/pdf 321.24KB 119 Title Patient safety issues and concerns in Bhutan's healthcare system: a qualitative exploratory descriptive study Author(s) Pelzang, Rinchen Hutchinson, Alison M orcid.org/0000-0001-5065-2726 Journal name BMJ open Volume number 8 Issue number 7 Article ID e022788 Start page 1 End page 11 Total pages 11 Publisher BMJ Publishing Group Place of publication London, Eng. Publication date 2018-09 ISSN 2044-6055 Keyword(s) clinical governance health policy qualitative research quality in health care healthcare professionals patient safety Bhutan Summary OBJECTIVES: To investigate what healthcare professionals perceived and experienced as key patient safety concerns in Bhutan's healthcare system. DESIGN: Qualitative exploratory descriptive inquiry. SETTINGS: Three different levels of hospitals, a training institute and the Ministry of Health, Bhutan. PARTICIPANTS: In total, 140 healthcare professionals and managers. METHODS: Narrative data were collected via conversational in-depth interviews and Nominal Group Meetings. All data were subsequently analysed using thematic analysis strategies. RESULTS: The data revealed that medication errors, healthcare-associated infections, diagnostic errors, surgical errors and postoperative complications, laboratory/blood testing errors, falls, patient identification and communication errors were perceived as common patient safety concerns. Human and system factors were identified as contributing to these concerns. Instituting clinical governance, developing and improving the physical infrastructure of hospitals, providing necessary human resources, ensuring staff receive patient safety education and promoting 'good' communication and information systems were, in turn, all identified as processes and strategies critical to improving patient safety in the Bhutanese healthcare system. CONCLUSION: Patient safety concerns described by participants in this study were commensurate with those identified in other low and middle-income countries. In order to redress these concerns, the findings of this study suggest that in the Bhutanese context patient safety needs to be conceptualised and prioritised. Language eng DOI 10.1136/bmjopen-2018-022788 HERDC Research category C1 Refereed article in a scholarly journal Copyright notice ©2018, The Authors Free to Read? Yes Use Rights Persistent URL http://hdl.handle.net/10536/DRO/DU:30112325 Document type: Journal Article Collections: Faculty of Health Centre for Quality and Patient Safety Research Open Access Collection Related Links Link Description Connect to published version (open access) Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au. Versions Version Filter Type Fri, 10 Aug 2018, 12:50:45 EST Sat, 11 Aug 2018, 05:01:22 EST Mon, 13 Aug 2018, 08:11:13 EST Sat, 22 Sep 2018, 02:31:47 EST Tue, 02 Oct 2018, 06:07:25 EST Wed, 03 Oct 2018, 10:16:10 EST Wed, 03 Oct 2018, 10:17:36 EST Wed, 03 Oct 2018, 10:18:11 EST Fri, 05 Oct 2018, 09:21:10 EST Sat, 20 Oct 2018, 01:30:45 EST Filtered Full Citation counts:   Cited 4 times in TR Web of Science Cited 2 times in Scopus Search Google Scholar Access Statistics: 286 Abstract Views, 121 File Downloads  -  Detailed Statistics Created: Fri, 10 Aug 2018, 12:50:45 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.