title: Patient safety and quality of care in developing countries in Southeast Asia: a systematic literature review.
abstract: OBJECTIVE
  To establish current knowledge of patient safety and quality of care in developing countries in Southeast Asia, current interventions and the knowledge gaps.
  
  
  METHODS
  Systematic review and narrative synthesis.
  
  
  METHODS
  Key words, synonyms and subject headings were used to search seven electronic databases in addition to manual searching of relevant journals.
  
  
  RESULTS
  Titles and abstracts of publications between 1990 and 2014 were screened by two reviewers and checked by a third. Full text articles were screened against the eligibility criteria. Data on design, methods and key findings were extracted and synthesized.
  
  
  RESULTS
  Four inter-related safety and quality concerns were evident from 33 publications: (i) the risk of patient infection in healthcare delivery, (ii) medications errors/use, (iii) the quality and provision of maternal and perinatal care and (iv) the quality of healthcare provision overall.
  
  
  CONCLUSIONS
  Large-scale prevalence studies are needed to identify the full range of safety and quality problems in developing countries in Southeast Asia. Sharing lessons learnt from extensive quality and safety work conducted in industrialized nations may contribute to significant improvements. Yet the applicability of interventions utilized in developed countries to the political and social context in this region must be considered. Strategies to facilitate the collection of robust safety and quality data in the context of limited resources and the local context in each country are needed.
authors.affiliation: School of Public Health, University of Sydney, Sydney, New South Wales 2006, Australia.
authors.forename: Reema
authors.initials: R
authors.lastname: Harrison
authors.affiliation: School of Public Health, University of Sydney, Sydney, New South Wales 2006, Australia.
authors.forename: Adrienne Wai Seung
authors.initials: AW
authors.lastname: Cohen
authors.affiliation: School of Public Health, University of Sydney, Sydney, New South Wales 2006, Australia.
authors.forename: Merrilyn
authors.initials: M
authors.lastname: Walton
mesh_terms: D001210:Asia, Southeastern / Q000453:epidemiology; D003428:Cross Infection / Q000453:epidemiology; D003906:Developing Countries; D006801:Humans; D008427:Maternal Health Services / Q000592:standards; D008508:Medication Errors / Q000706:statistics & numerical data; D061214:Patient Safety; D018743:Perinatal Care / Q000592:standards; D011787:Quality of Health Care
keywords: patient safety, developing countries; patient safety, incident reporting and analysis; patient safety, medical errors; quality culture; quality management, adverse events; specific populations