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

摘要： 基层医疗卫生机构作为国民“健康守门人”，其患者安全管理能力是衡量我国医疗卫生服务能力和健康促进能力的重要标准。基层医疗卫生机构患者安全问题具有基础性、客观性、双向性、相似性等特点。但基层患者安全问题并未得到重视，基层医疗卫生机构仍然存在着卫生服务能力低下、不良事件上报率低、用药安全难以保障、患者安全文化建设不足等问题，应当从制定基层患者安全目标、提升基层卫生服务能力、拓宽患者安全问题来源、加强基层用药监督、营造良好的患者安全文化氛围等方面提升基层患者安全保障体系，以更好地保障患者安全，促进国民健康发展。

关键词: 患者安全, 基层医疗卫生机构, 安全管理