Exploring patient participation in reducing health-care-related safety risks

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Exploring patient participation in reducing health-care-related safety risks 92 Woroń J et al. Bezpieczeństwo pacjenta w farmakoterapii bólu. IV Międzynarodowe Sympozjum “Postępy w leczeniu bólu”, Zakopane 8–10 października 2009 [The patient’s safety in pain pharmacotherapy. IV International Symposium “Advances in the treatment of pain”, Zakopane 8–10 October 2009]. Ból, 2009, 10:35. Woroń J et al. Monitorowanie niepożądanych działań leków w praktyce klinicznej [Adverse drug reactions monitoring in clinical practice]. Anestezjologia i Ratownictwo, 2009, 3:185–192. Woroń J. Leki dostępne bez recepty – niekorzystne interakcje [Over the counter drugs – anti-interactions]. Almanach, 2010, 5:63–67. Woroń J. U starszych więcej nie znaczy lepiej [For the elderly “more” does not mean “better”]. Medical Tribune, 2010, 6. Woroń J. Praktyczne aspekty polekowych działań niepożądanych i interakcji leków w medycynie paliatywnej [Practical aspects of drug adverse reactions and interactions in paliative treatment]. In: Jakrzewskiej-Sawińskiej A, ed. Jakość życia w starości – mity i rzeczywistość [Quality of life in the elderly – myths and realities]. Poznań, Wielkopolskie Stow, 2009:85–88. Woroń J. Ryzyko wystąpienia polekowych działań niepożądanych w farmakoterapii stosowanej u osób starszych [Risk of adverse reactions in pharmacotherapy of elderly patients]. In: Jakrzewskiej-Sawińskiej A, ed. Jakość życia w starości – mity i rzeczywistość [Quality of life in the elderly – myths and realities]. Poznań, Wielkopolskie Stow, 2009:43–47.
ChApTER 6. pATIENT pARTICIpATION IN ELECTIVE SURGERY SAFETY IN pORTUGAL Anna Mansoa Patient participation in elective surgery safety in Portugal Introduction The complexity of health care services all over the world presents new challenges in assuring service quality and safety (1). Patient safety is an important aspect of public health and a recognized key issue in establishing and delivering accessible, cost-effective and responsive health care (2,3). It has already been shown that medical errors and health care-related adverse events occur in between 8% and 12% of hospitalizations within EU Member States (1), with a large percentage being considered preventable (3). HAIs are the most frequent adverse event threatening patients’ safety worldwide, with an estimated prevalence of 7.1% in Europe (1,4). Enhancing patient safety, defined as “freedom for a patient from unnecessary harm or potential harm associated with health care” (1,3), and assuring the protection of patients’ rights is high on national and international health agendas. Patient participation, a key component in the redesign of safe health care, is advocated as a means to improve patient safety in several areas, such as the management of chronic diseases (5). It is consequently being promoted by WHO as a means to improve well-being and increase the efficiency of the health care system through enhanced communication between patients and health care providers. “Patients for Patient Safety”, one of WHO’s main actions involving work with a global network of patients, consumers, caregivers and consumer organizations, launched the London Declaration in 2006 (6). This advocates for the reduction of health care errors as a basic human right and emphasizes the importance of strengthening patient engagement (1). Patients can contribute to safer health care experiences by being involved in, and informed about, their treatment (7). Fewer adverse events are likely to occur when patients and HCWs become partners in health care, sharing important information, managing systemic risks and dealing with adverse events (8). Even if more evidence on the role of patient participation in preventing medical errors is needed, existing research shows that patients can influence and substantially modify HCWs’ behaviour. However, the efficacy and implementation of patient participation in preventing medical errors and increasing staff adherence can be influenced by a multitude of cultural and environmental factors (5). The acknowledgment that only an informed patient can be really engaged in his or her own health care and contribute to the quality of services brought the importance of effective policies promoting health literacy to the international agenda (5). 93
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Exploring patient participation in
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ABSTRACT Patients’ rights have be
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iv Patient information: the link be
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vi LIST OF TABLES, FIGURES AND BOXE
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ACKNOWLEDGEMENTS The editors would
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LIST OF ABBREVIATIONS ABHR alcohol-
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FOREWORD Health is a social value a
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ChApTER 1. pATIENTS’ RIGhTS AND p
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Box 1 .1 . contd Reporting and Lear
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The causal mechanisms through which
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» be involved in routine monitorin
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elationships within the complex env
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ChApTER 2. pATIENTS’ RIGhTS AND p
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CoE Recommendation 2006/7 of the Co
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The 2005 United States act on patie
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The right to participate in policy-
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The right to participate in quality
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» engaging with patient representa
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hampered by the written and spoken
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prevents misunderstandings and shap
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Health care providers should nevert
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Recommendation 7 - Encourage the av
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20. Constitution of the World Healt
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ChApTER 3. pATIENT pARTICIpATION IN
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awareness of the sociomedical burde
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Patient participation in hand hygie
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Patient participation in hand hygie
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Page 61 and 62: Blood transfusion safety in France:
Page 65 and 66: Box 4 .1 . Definitions of adverse e
Page 67 and 68: Fig . 4 .4 . Distribution of advers
Page 73 and 74: The heterogeneity of situations and
Page 83 and 84: Fig . 4 .12 . Patients’ response
Page 91 and 92: Patient safety, rights and medicati
Page 97 and 98: Fig . 5 .3 . Frequency with which d
Page 105: Patient safety, rights and medicati
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Page 111 and 112: e desirable to have a special statu
Page 117 and 118: inspections of surgical services to
Page 133 and 134: » being involved in monitoring and
Page 135 and 136: Other studies on patient attitudes
Page 137 and 138: Information about patients’ exper
Page 139 and 140: available evidence suggests that in
Page 141 and 142: Adverse events Respondents from the
Page 143 and 144: Feeling safe Five per cent of hospi
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Page 147 and 148: care professionals’ and patients
Page 149 and 150: group recommends that patient invol
Page 151 and 152: 13. Hibbard JH et al. Can patients
Page 153 and 154: 52. Triemstra M et al. Measuring cl
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of a small-scale patient survey add
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Box 8 .2 . Curricula and CME Chapte
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is provided through interaction of
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Box 8 .4 . Patient education Chapte
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ANNEX 1. QUOTATIONS FROM INTERNATIO
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(2) When designing adverse event re
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17) If yes, do you think this was m
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Box A3 .1 . Reporting procedure Pat
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Box A3 .2 . contd Haemosiderosis Ha
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ANNEX 4. pATIENT QUESTIONNAIRE ABOU
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ANNEX 6. WhO pATIENT SAFETY pROGRAM
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especially those in intensive care.
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ANNEX 7. hANDOVER pROjECT Paul Bara
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(a) Provide new insight into the ro
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Johnson J, Barach P. Handovers of p
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Enhancing the patients’ role in p
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Enhancing the patients’ role in p
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