{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T23:04:15Z","timestamp":1791327855987,"version":"4.3.1"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,4,14]],"date-time":"2023-04-14T00:00:00Z","timestamp":1681430400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI19\/00056"],"award-info":[{"award-number":["PI19\/00056"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["RD21\/0016\/0020"],"award-info":[{"award-number":["RD21\/0016\/0020"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Patients' and companions' participation in healthcare could help prevent adverse events, which are a significant cause of disease and disability. Before designing interventions to increase participation, it is first necessary to identify attitudes to patient safety. This study aimed to explore patients' and companions' perceptions, attitudes and experiences of patient safety, taking into account contextual factors, such as cultural background, which are not usually captured in the literature.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a qualitative study with a theoretical sampling of 13 inpatients and 3 companions in a university hospital in Barcelona, Spain. Information was obtained from individual and triangular interviews. A descriptive thematic content analysis was conducted by four analysts and a consensus was reached within the research team on the key categories that were identified. We also conducted a card\u2010sorting exercise.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All informants emphasized the role of good communication with health professionals, a calm environment and the need for patient education. Discursive positions differed by cultural background. Informants from a Pakistani\u2013Bangladeshi background emphasized language barriers, while those from European and Latin\u2010American backgrounds stressed health professionals' lack of time and the need for more interdisciplinary teamwork. The card\u2010sorting exercise identified several opportunities to enhance participation: checking patient identification and medication dispensation, and maintaining personal and environmental hygiene.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This exploration of informants' discourse on patient safety identified a wide variety of categories not usually considered from institutional perspectives. The findings of this study could enrich interventions in areas with diverse cultural backgrounds, as well as current frameworks based exclusively on institutional perspectives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>The results of the study were communicated to patients and accompanying persons via telephone or email. Similarly, a focus group was held with a patient forum to comment on the results. In the design of subsequent interventions to improve patient safety at the hospital, the proposals of patients and companions for their participation will be included together with healthcare professionals' opinions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.13758","type":"journal-article","created":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T09:54:52Z","timestamp":1679910892000},"page":"1536-1550","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["A qualitative exploration of patient safety in a hospital setting in Spain: Policy and practice recommendations on patients' and companions' participation"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5268-3574","authenticated-orcid":false,"given":"Daniel G.","family":"Abi\u00e9tar","sequence":"first","affiliation":[{"name":"Servicio de Epidemiolog\u00eda y Evaluaci\u00f3n Hospital del Mar Barcelona Spain"},{"name":"Facultad de Ciencias de la Salud y de la Vida Universidad Pompeu Fabra Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laia","family":"Domingo","sequence":"additional","affiliation":[{"name":"Servicio de Epidemiolog\u00eda y Evaluaci\u00f3n Hospital del Mar Barcelona Spain"},{"name":"Red de Investigaci\u00f3n en Cronicidad Atenci\u00f3n Primaria y Promoci\u00f3n de la Salud (RICAPPS) Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Medina\u2010Perucha","sequence":"additional","affiliation":[{"name":"Red de Investigaci\u00f3n en Cronicidad Atenci\u00f3n Primaria y Promoci\u00f3n de la Salud (RICAPPS) Madrid Spain"},{"name":"Fundaci\u00f3 Institut Universitari per a la recerca a l'Atenci\u00f3 Prim\u00e0ria de Salut Jordi Gol i Gurina (IDIAPJGol) Barcelona Spain"},{"name":"Universitat Aut\u00f2noma de Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuria","family":"Saavedra","sequence":"additional","affiliation":[{"name":"Unidad de enfermer\u00eda de Cirug\u00eda Ortop\u00e9dica y Traumatolog\u00eda Hospital del Mar Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Berenguera","sequence":"additional","affiliation":[{"name":"Red de Investigaci\u00f3n en Cronicidad Atenci\u00f3n Primaria y Promoci\u00f3n de la Salud (RICAPPS) Madrid Spain"},{"name":"Fundaci\u00f3 Institut Universitari per a la recerca a l'Atenci\u00f3 Prim\u00e0ria de Salut Jordi Gol i Gurina (IDIAPJGol) Barcelona Spain"},{"name":"Universitat Aut\u00f2noma de Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laia","family":"Lacueva","sequence":"additional","affiliation":[{"name":"Servicio de Metodolog\u00eda y Calidad en Cuidados Enfermeros Hospital del Mar Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Hurtado","sequence":"additional","affiliation":[{"name":"Servicio de Atenci\u00f3n a la Ciudadan\u00eda Hospital del Mar Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xavier","family":"Castells","sequence":"additional","affiliation":[{"name":"Servicio de Epidemiolog\u00eda y Evaluaci\u00f3n Hospital del Mar Barcelona Spain"},{"name":"Red de Investigaci\u00f3n en Cronicidad Atenci\u00f3n Primaria y Promoci\u00f3n de la Salud (RICAPPS) Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9955-8746","authenticated-orcid":false,"given":"Mar\u00eda","family":"Sala","sequence":"additional","affiliation":[{"name":"Servicio de Epidemiolog\u00eda y Evaluaci\u00f3n Hospital del Mar Barcelona Spain"},{"name":"Red de Investigaci\u00f3n en Cronicidad Atenci\u00f3n Primaria y Promoci\u00f3n de la Salud (RICAPPS) Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,14]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"World Health Organization. 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