<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2504-3145</journal-id>
<journal-title><![CDATA[Portuguese Journal of Public Health]]></journal-title>
<abbrev-journal-title><![CDATA[Port J Public Health]]></abbrev-journal-title>
<issn>2504-3145</issn>
<publisher>
<publisher-name><![CDATA[Escola Nacional de Saúde Pública]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2504-31452021000300175</article-id>
<article-id pub-id-type="doi">10.1159/000521722</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Contributions to the Portuguese National plan for patient safety 2021-2026: A robust methodology based on the mixed-method approach]]></article-title>
<article-title xml:lang="pt"><![CDATA[Contributos para o Plano Estratégico da Segurança dos Doentes 2021-2026: Uma metodologia robusta baseada numa abordagem de métodos mistos]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sousa]]></surname>
<given-names><![CDATA[Paulo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paiva]]></surname>
<given-names><![CDATA[Sofia Guerra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lobão]]></surname>
<given-names><![CDATA[Maria João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Van-Innis]]></surname>
<given-names><![CDATA[Ana Luísa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[Carla]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A5"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fonseca]]></surname>
<given-names><![CDATA[Válter]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,NOVA University of Lisbon National School of Public Health Public Health Research Centre]]></institution>
<addr-line><![CDATA[Lisbon ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,NOVA Medical School Comprehensive Health Research Center ]]></institution>
<addr-line><![CDATA[Lisbon ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital de Cascais Internal Medicine Department ]]></institution>
<addr-line><![CDATA[Cascais ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Platform for Continuous Improvement of Quality of Care and Patient Safety  ]]></institution>
<addr-line><![CDATA[Brussels ]]></addr-line>
<country>Belgium</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Directorate-General of Health Department for Quality in Health ]]></institution>
<addr-line><![CDATA[Lisbon ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,University of Lisbon Faculty of Medicine ]]></institution>
<addr-line><![CDATA[Lisbon ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>39</volume>
<numero>3</numero>
<fpage>175</fpage>
<lpage>192</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2504-31452021000300175&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2504-31452021000300175&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2504-31452021000300175&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Several countries prioritize patient safety in their health policies. In Portugal, following the implementation of the National Plan for Patient Safety (NPPS) 2015-2020, the research team of the National School of Public Health (NSPH) carried out extensive work to continue improving aspects of the previous Plan. This work was focused on identifying the strengths and weaknesses of NPPS 2015-2020 and aspects related to its applicability and main challenges and opportunities for the implementation of the NPPS 2021-2026.  Methods:  Methodological dynamic process was based on the most relevant international and national guidelines and the feedback from key patient safety stakeholders. We developed a cross-sectional mixed-methods study from January to August 2021. We used documentation and periodical reports from National Health Service (NHS) healthcare institutions as secondary sources of information. For primary data collection, we used an online survey (applied to elements in the different quality and safety structures of hospitals and primary care units), interviews, and focus groups to collect information from patient safety experts.  Results and Discussion:  Strengthening safety culture, patient safety training, communication, leadership involvement, patient and family engagement, and monitorization process is considered essential. We also identified local limitations such as the lack of resources and protected time for the healthcare professionals and lack of leadership involvement on patient safety strategies for dedicating to patient safety actions. Most of the patient safety stakeholders agreed that the safety and health of clinical teams and new modalities of healthcare (such as telemedicine, home hospitalization, home care) should be a priority for patient safety strategies.  Conclusions:  In our study, we used a robust methodology with a participatory process involving different stakeholders. An alignment between local, regional, and national levels in terms of measuring indicators, the definition of priorities, and actions and activities to improve patient safety is recommended. Reinforced partnerships and alignment between the institution&#8217;s mission, and safety priorities will be crucial to enhance patient safety. Additionally, this work highlights the added value for health systems achieved through strong partnerships between public administration and academic institutions to improve healthcare quality and patient safety.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  Vários países têm priorizado a Segurança do Doente no contexto das políticas de saúde. A definição de um plano estratégico, enquanto ferramenta válida e útil para orientar a ação das organizações de saúde, é um processo muito importante para definir prioridades, identificar as ações a ser implementadas e o papel que cada parceiro deve assumir. Em Portugal, concretizado o Plano Nacional para a Segurança dos Doentes (PNSD) 2015-2020, tornou-se necessário desenvolver uma proposta, que assentasse numa metodologia robusta e participativa, para a definição do novo Plano estratégico para a segurança dos doentes.  Métodos:  A metodologia aplicada privilegiou a revisão de literatura científica e de orientações internacionais e nacionais e o feedback dos principais stakeholders na área. Optou-se por um estudo transversal de metodologia mista. Como fontes secundárias de informação, utilizamos documentação oficial, relatórios institucionais e revisão de literatura científica. Os dados primários, foram recolhidos por intermédio de questionário (aplicado aos elementos das Comissões de Qualidade e Segurança de hospitais e ACES do SNS); realizaram-se entrevistas e focus group a especialistas na área segurança do doente.  Resultados e discussão:  É fundamental reforçar a cultura de segurança e a formação na área da segurança do doente; melhorar a comunicação; aumentar o envolvimento da liderança e promover a participação do doente/ família. A nível local, identificamos falta de recursos, de tempo protegido e falta de envolvimento da liderança nas estratégias de segurança do doente.  Conclusões:  Neste estudo aplicou-se uma metodologia robusta num processo participativo que envolveu diferentes parceiros com interesse e responsabilidade na área da segurança dos doentes. Recomenda-se um alinhamento entre os níveis local/ regional/nacional, para concretizar a monitorização dos indicadores e definir prioridades, ações e atividades na área da segurança do doente. O reforço de parcerias e o alinhamento entre a missão das organizações de saúde e as prioridades definidas no PNSD 2021-2026 serão cruciais para melhorar a segurança do doente.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Patient safety]]></kwd>
<kwd lng="en"><![CDATA[Strategic plan]]></kwd>
<kwd lng="en"><![CDATA[Adverse events]]></kwd>
<kwd lng="en"><![CDATA[Quality of health]]></kwd>
<kwd lng="pt"><![CDATA[Segurança do doente]]></kwd>
<kwd lng="pt"><![CDATA[Planos estratégico]]></kwd>
<kwd lng="pt"><![CDATA[Eventos adversos]]></kwd>
<kwd lng="pt"><![CDATA[Qualidade em saúde]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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