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. 2023 Dec 17;20(24):7189.
doi: 10.3390/ijerph20247189.

Quality and Safety of Proximity Care Centered on the Person and Their Domiciliation: Systematic Literature Review

Carlos Martins  1   2 , Ana Escoval  2 , Manuel Lopes  2 , Susana Mendonça  2   3 , César Fonseca  2   3
Affiliations

Quality and Safety of Proximity Care Centered on the Person and Their Domiciliation: Systematic Literature Review

Carlos Martins et al. Int J Environ Res Public Health. .

Abstract

The quality and safety of health care are a priority for health organizations and social institutions to progressively provide people with a higher level of health and well-being. It is in the development of this path that home care currently represents an area of gradual investment and where health care services and the scientific community have shown interest in building circuits and instruments that can respond to needs. The purpose of this article is to identify areas and criteria for quality and safety in home care. The method used was a systematic review registered in PROSPERO (CRD42022380989). The search was systematically carried out in CINAHL Plus with Full Text, MEDLINE with Full Text and Psychology and Behavioral Sciences Collection, using the following criteria: articles published in Portuguese and English, from January 2017 to November 2022. The results of the analysis of the articles showed areas of quality and safety in home care with their respective dimensions and operational criteria. We concluded that there are three areas: the intervention with the patient, with proximity and patient-centered care, which integrates the individual care plan and the proximity of professionals to the patient and family; the intervention of care and service management, with care management and clinical governance that includes the integrated model of health care, goal management, and context management; and the intervention related to training and professional development, where we have the skills and training of professionals.

Keywords: home health care; home nursing; patient safety; quality; safety.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The authors declare no conflict of interest. The funders had no role in the systematic review; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results. The authors have no conflicts to declare.

Figures

Figure 1
Figure 1
PRISMA 2020 flow diagram. * Consider, if feasible, reporting the number of records identified from each database or register searched (rather than the total number across all databases/registers). ** If automation tools were used, indicate how many records were excluded by a human and how many were excluded by automation tools.
See this image and copyright information in PMC

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