Evidence map›Paper›PMID 41310647›Full record

ArticleBMC health services research2025

Understanding the development and implementation of national quality of care and patient safety strategic documents: a scoping review.

Maria Mafalda Fernandes, Sofia Guerra-Paiva, Ana Raquel Soares, Rohanne Spiteri, Christos Triantafyllou, Konstantina Vasileiou, Marie Stridborg, Valter Fonseca, Joao Breda, Paulo Sousa

Abstract readScoping Review
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Development of the National Strategy for Quality of Care and Patient Safety for Greece: co-creation process and lessons learnt.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Maria Mafalda FernandesPublic Health Research Centre, Comprehensive Health Research Center, CHRC, NOVA University of Lisbon, Lisbon, Portugal.
Sofia Guerra-PaivaPublic Health Research Centre, Comprehensive Health Research Center, CHRC, NOVA University of Lisbon, Lisbon, Portugal.
Ana Raquel SoaresPublic Health Research Centre, Comprehensive Health Research Center, CHRC, NOVA University of Lisbon, Lisbon, Portugal.
Rohanne SpiteriPublic Health Research Centre, Comprehensive Health Research Center, CHRC, NOVA University of Lisbon, Lisbon, Portugal.
Christos TriantafyllouWHO Athens Quality of Care and Patient Safety Office, World Health Organization Regional Office for Europe, Athens, Greece.
Konstantina VasileiouWHO Athens Quality of Care and Patient Safety Office, World Health Organization Regional Office for Europe, Athens, Greece.
Marie StridborgWHO Athens Quality of Care and Patient Safety Office, World Health Organization Regional Office for Europe, Athens, Greece.
Valter FonsecaWHO Athens Quality of Care and Patient Safety Office, World Health Organization Regional Office for Europe, Athens, Greece.
Joao Breda *WHO Athens Quality of Care and Patient Safety Office, World Health Organization Regional Office for Europe, Athens, Greece.
Paulo SousaPublic Health Research Centre, Comprehensive Health Research Center, CHRC, NOVA University of Lisbon, Lisbon, Portugal. paulo.sousa@ensp.unl.pt.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundSeveral strategic documents aimed at integrating quality of care and patient safety into health systems have been developed, both as guiding documents produced by renowned international organisations and as national documents with a political purpose. However, the development, implementation and monitoring/evaluation of quality of care and patient safety strategic/policy documents are often delicate and challenging processes.

objectivesIn order to support policymakers and decision makers who plan to develop or improve their national quality of care and patient safety strategic/policy documents, this study seeks to understand how the processes of developing, implementing, and monitoring/evaluating this type of policy have been carried out and how they should be conducted.

methodsA scoping review was conducted by searching three major databases for relevant articles and by examining official strategic documents published on the websites of national and governmental authorities. The methodology followed the stages approach proposed by Arksey and O’Malley and was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews.

resultsKey phases and tasks across each stage of the development, implementation and monitoring/evaluation of strategic/policy documents relating to quality of care and patient safety were identified. The identification, consultation and involvement of various stakeholders emerged as cross-cutting factors across all three processes and were regarded as highly important.

conclusionThis study maps key tasks and phases relevant to the effective development, implementation, and monitoring/evaluation of strategic health policy documents. By outlining a structured approach aligned with international best practices, it offers actionable insights that may support policymakers in designing sustainable and high-impact policies. These findings contribute to strengthening planning for quality of care and patient safety, with potential implications for the delivery of safe, high-quality healthcare services and the development of resilient, responsive health systems. REGISTRATION NUMBER OF THE STUDY: https://doi.org/10.17605/OSF.IO/K4HXD .

Indexed as

Health PolicyPatient SafetyQuality of Health CareHumansNational health strategiesNational policy documentsPatient safetyQuality of careScoping review

Identifiers

PMID41310647
PMCPMC12681144

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.