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. 2015 Aug 5;10(8):e0128329. doi: 10.1371/journal.pone.0128329

Table 7. Concepts and metaphors in studies of patient perceptions of safety in primary care.

Patients Staff Doctor-Patient Communication System
Adversely Affects Safety Physical and cognitive disadvantages Arrogance Unsuccessful, insufficient or unclear communication Failures of access
“wrong” behaviour Incompetence Lack of service availability due to resource constraints
Dispersed patient information
Unsafe Practice Negative emotional responses Arrogance leading to mistrust Magnification of insults within relationship breakdown Mistrust in unfamiliar providers
Actions to Promote Safety Active stance Making patients feeling respected, valued and able to speak up Open communication Keeping patients informed
Skilled self-managers; Informed; Adaptable in response to system
Use social networks Use of patient advocates