Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature
Journal article, Peer reviewed
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http://hdl.handle.net/11250/2384998Utgivelsesdato
2014-11Metadata
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Originalversjon
Guise, V., Anderson, J., Wiig, S. (2014) atient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. BMC Health Services Research, 14:588 10.1186/s12913-014-0588-zSammendrag
Background:
Patient safety risk in the homecare context and patient safety risk related to telecare are both
emerging research areas. Patient safety issues associated with the use of telecare in homecare services are therefore
not clearly understood. It is unclear what the patient safety risks are, how patient safety issues have been
investigated, and what research is still needed to provide a comprehensive picture of risks, challenges and potential
harm to patients due to the implementation and use of telecare services in the home. Furthermore, it is unclear
how training for telecare users has addressed patient safety issues. A systematic review of the literature was
conducted to identify patient safety risks associated with telecare use in homecare services and to investigate
whether and how these patient safety risks have been addressed in telecare training.
Methods:
Six electronic databases were searched in addition to hand searches of key items, reference tracking and
citation tracking. Strict inclusion and exclusion criteria were set. All included items were assessed according to set
quality criteria and subjected to a narrative synthesis to organise and synthesize the findings. A human factors
systems framework of patient safety was used to frame and analyse the results.
Results:
22 items were included in the review. 11 types of patient safety risks associated with telecare use in
homecare services emerged. These are in the main related to the nature of homecare tasks and practices, and
person-centred characteristics and capabilities, and to a lesser extent, problems with the technology and devices,
organisational issues, and environmental factors. Training initiatives related to safe telecare use are not described in
the literature.
Conclusions:
There is a need to better identify and describe patient safety risks related to telecare services to
improve understandings of how to avoid and minimize potential harm to patients. This process can be aided by
reframing known telecare implementation challenges and user experiences of telecare with the help of a human
factors systems approach to patient safety.
Beskrivelse
This is an Open Access article distributed under the terms of the Creative
Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is properly credited.