Ashfaq Chauhan|Merrilyn Walton|Elizabeth Manias|Ramesh Walpola|Holly Seale|Monika Latanik|Desiree Leone|Stephen Mears|Reema Harrison
The safety of health care for ethnic minority patients: a systematic review
UNSW Sydney|University of Sydney|Deakin University|UNSW Sydney|UNSW Sydney|Sydney Local Health District|Sydney Local Health District|Hunter New England Local Health District|UNSW Sydney
abstract introduction evidence date indicates patients ethnic minority backgrounds may experience disparity quality safety health care receive due range sociocultural factors although heightened risk patient safety events key concern dearth evidence regarding nature rate patient safety events occurring amongst ethnic minority consumers critical development relevant intervention approaches enhance safety care objectives establish ethnic minority populations conceptualised international literature implications shaping findings evidence patient safety events arising among ethnic minority healthcare consumers internationally individual service system factors contribute unsafe care method systematic review five databases medline pubmed psycinfo embase cinahl undertaken using subject headings mesh keywords identify studies relevant objectives inclusion criteria applied independently two researchers narrative synthesis undertaken due heterogeneity study designs included studies followed study appraisal process results fortyfive studies included review findings indicate 1 ethnic minority backgrounds conceptualised variably 2 people ethnic minority backgrounds higher rates hospital acquired infections complications adverse drug events dosing errors compared wider population 3 factors including language proficiency beliefs illness treatment formal informal interpreter use consumer engagement interactions health professionals contributed increased risk safety events amongst populations conclusion ethnic minority consumers may experience inequity safety care higher risk patient safety events health services systems must consider individual inter intraethnic variations nature safety events understand invest resource enhance equity safety care review registration systematic review registered research registry reviewregistry761