关键词: 患者安全, 基层医疗卫生机构, 安全管理

Abstract: Primary care is a gatekeeper of health，whose level of patient safety management is an important criterion measuring the levels of healthcare and health promotion in China. The problems of patient safety in primary care institutions are basic，objective，bilateral（involving both the hospital and patients），and similar. However，patient safety problems in primary care have not gained sufficient attentions generally，and there are still some specific problems such as low capacity of providing healthcare services，low rate of reporting adverse events，difficulties in ensuring medication safety and insufficient construction of patient safety culture. To better ensure patient safety in primary care to promote the national health level，we put forward the following recommendations：setting goals for patient safety at the primary level，improving the capability of primary care institutions in providing health services，trying to identify potential causative factors for patient safety problems as many as possible，strengthening medication supervision in primary care and building a sound patient safety culture.

Key words: Patient safety, Primary health care institutions, Security management