{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T08:06:21Z","timestamp":1765872381166,"version":"3.48.0"},"reference-count":23,"publisher":"BMJ","issue":"10","license":[{"start":{"date-parts":[[2021,10,5]],"date-time":"2021-10-05T00:00:00Z","timestamp":1633392000000},"content-version":"unspecified","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100013342","name":"NIHR Imperial Biomedical Research Centre","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100013342","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100013631","name":"Patient Safety Translational Research Centre","doi-asserted-by":"publisher","award":["PSTRC_2016_004"],"award-info":[{"award-number":["PSTRC_2016_004"]}],"id":[{"id":"10.13039\/501100013631","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2021,9,24]]},"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>There is a high burden of adverse events and poor outcomes in fragile, conflict-affected and vulnerable (FCV) settings. To improve outcomes, there is a need to better identify which interventions can improve patient safety in these settings, as well as to develop strategies to optimise their implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study intends to generate a consensus on the most relevant patient safety interventions from experts with experience on FCV settings, including frontline clinicians and managers\/administrators, non-governmental organisations, policymakers and researchers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>The study uses an online Delphi research approach (eDelphi). Participants will include experts from a range of backgrounds, including those working in a variety of FCV settings. Participants will be established contacts known to the research team or recruited via snowball sampling, and will be asked to identify and rank the importance of a variety of patient safety interventions. Consensus will be defined as &gt;70% of participants agreeing\/strongly agreeing or disagreeing\/strongly disagreeing with a statement. Data analysis will be completed in Microsoft Excel and NVivo. The primary outcome of the study will be a list of the most relevant and applicable patient safety interventions for FCV settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>The study has received approval from Imperial College London Ethics Committee (reference number 20IC665). Anonymous results will be made available to the public, academic organisations and policymakers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2021-052960","type":"journal-article","created":{"date-parts":[[2022,10,25]],"date-time":"2022-10-25T15:13:30Z","timestamp":1666710810000},"page":"e052960","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["How to improve patient safety in fragile, conflict-affected and vulnerable settings: a Delphi study protocol"],"prefix":"10.1136","volume":"11","author":[{"given":"Alexandra","family":"Shaw","sequence":"first","affiliation":[{"name":"Patient Safety Translational Research Centre, Imperial College London, London, UK"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8389-1448","authenticated-orcid":false,"given":"Niki","family":"O\"Brien","sequence":"additional","affiliation":[{"name":"Institute of Global Health Innovation, Imperial College London, London, UK"}]},{"given":"Kelsey","family":"Flott","sequence":"additional","affiliation":[{"name":"Patient Safety Translational Research Centre, Imperial College London, London, UK"}]},{"given":"Sheila","family":"Leatherman","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management, UNC Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA"}]},{"given":"Michael","family":"Durkin","sequence":"additional","affiliation":[{"name":"Patient Safety Translational Research Centre, Imperial College London, London, UK"}]},{"given":"Ara","family":"Darzi","sequence":"additional","affiliation":[{"name":"Patient Safety Translational Research Centre, Imperial College London, London, UK"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7107-7211","authenticated-orcid":false,"given":"Ana Luisa","family":"Neves","sequence":"additional","affiliation":[{"name":"Patient Safety Translational Research Centre, Imperial College London, London, UK"},{"name":"Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS) \/ Center for Health Technology and Services Research (CINTESIS), University of Porto, Porto, Portugal"}]}],"member":"239","published-online":{"date-parts":[[2021,10,6]]},"reference":[{"key":"2025121600024383000_11.10.e052960.1","unstructured":"National Academies of Sciences Engineering and Medicine (NASEM) . 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