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

More documents

Recommendations

Info

Exploring patient participation in reducing health-care-related safety risks 126 “Ha[s] any dialysis center staff [member] ever told you how to get off the machine if there is an emergency at the centre?” “In the last 12 months, were you ever unhappy with the care you received at the dialysis center or from your kidney doctors?”; followed by: “In the last 12 months, did you ever talk to someone on the dialysis center staff about this?” “In the last three months, how often did dialysis center staff change their gloves between patients?” The last question is supplemental. In all cases, the response categories are “never” “sometimes”, “usually” and “always”. The question about changing gloves also includes the response category “don’t know”. Data collected with these survey instruments have not been published in scientific literature. Some information has been presented at a CAHPS user meeting: 3% of the patients reported that staff “never” or only “sometimes” changed gloves between patients (33). Item related to safety in the CAHPS Nursing Home Survey “What number would you use to describe how safe and secure you felt in the nursing home?” (response categories 0–10). No data are reported in scientific publications; one publication describes the development of the questionnaire (35). Item related to safety in the CAHPS Surgical Care Survey “Did this surgeon or a health provider from this surgeon’s office warn you about any signs or symptoms that would require immediate medical attention during your recovery period?” No data are reported in scientific publications; one publication describes the development of the questionnaire (36). Commonwealth Fund surveys The Commonwealth Fund is a private foundation that aims to promote a highperforming health care system with better access, improved quality and greater efficiency, particularly for low-income people, the uninsured, minority Americans, young children and older adults. The Fund achieves this through supporting research, including an extensive programme of patient/consumer surveys on health care issues, both in the United States and internationally (66). Questions related to patient safety have been asked in two surveys: the Commonwealth Fund Survey of Public Views of the US Health Care System and the Commonwealth Fund International Health Policy Survey of Sicker Adults. Commonwealth Fund surveys are conducted in national languages via telephone interviews with residents of the countries included in the surveys.
Adverse events Respondents from the United States were asked about the occurrence of adverse events in the Commonwealth Fund Survey of Public Views of the US Health Care System 2011. Thirteen per cent said that they or a family member acquired an infection or complication as a result of medical care and 15% reported experiencing a surgical or medical error or mistake, including incorrect drug dosage or laboratory results (67). The 2008 Commonwealth Fund International Health Policy Survey of Sicker Adults was conducted in eight countries: Australia, Canada, France, Germany, the Netherlands, New Zealand, United Kingdom and United States. Patients with chronic disease who had been hospitalized in the previous two years were included. Of these patients, between 7% (France) and 18% (United States) reported that they had been readmitted to hospital or went to the emergency room because of complications during recovery (68). Of all the patients with chronic disease who participated in the survey: » 6% (the Netherlands) to 14% (United States) reported that they had been given incorrect medication or doses; » 8% (United Kingdom and France) to 17% (Australia) reported a medical mistake in treatment; and » 1% of those who had been subject to laboratory tests in the Netherlands to 7% in Australia and the United States reported having been given incorrect results. Most errors in medication, treatment or laboratory testing occurred outside the hospital. Safety management Of the hospitalized patients in the 2008 Commonwealth Fund International Health Policy Survey of Sicker Adults, 8% (United States) to 17% (United Kingdom) reported that they had not been given instructions about symptoms and when to seek further care. Forty per cent (Canada) to 68% (France) who regularly took prescription medicines reported that doctors or pharmacists sometimes/rarely/never reviewed and discussed all the medications they were using. Netherlands CQI The CQI was introduced by the Netherlands Ministry of Health, Welfare and Sports in 2006 as the national standard for measuring patient experiences with health care providers and health plans. The CQI is a registered trademark that is owned by the Centre for Consumer Experience in Health Care, which coordinates the development of CQI surveys and collects emerging data. CQI questionnaires measure patient experiences rather than patient satisfaction (53). Patient experience questionnaires ask whether certain processes and events occurred, combined with questions about values and expectations with regard to health care. Currently, 22 sets of questionnaires have been developed, covering health and social care literally from the cradle (perinatal care) to the grave (palliative care). CQI questionnaires cover services such as long-term care for older people, home care, mental health care, general practice, physiotherapy, hospital care, elective surgery, haemodialysis and Patients’ experiences and patient safety 127
Page 1 and 2:
Exploring patient participation in
Page 3 and 4:
ABSTRACT Patients’ rights have be
Page 5 and 6:
iv Patient information: the link be
Page 7 and 8:
vi LIST OF TABLES, FIGURES AND BOXE
Page 9 and 10:
ACKNOWLEDGEMENTS The editors would
Page 11 and 12:
LIST OF ABBREVIATIONS ABHR alcohol-
Page 13 and 14:
FOREWORD Health is a social value a
Page 15 and 16:
ChApTER 1. pATIENTS’ RIGhTS AND p
Page 17 and 18:
Box 1 .1 . contd Reporting and Lear
Page 19 and 20:
The causal mechanisms through which
Page 21 and 22:
» be involved in routine monitorin
Page 23 and 24:
elationships within the complex env
Page 25 and 26:
ChApTER 2. pATIENTS’ RIGhTS AND p
Page 27 and 28:
CoE Recommendation 2006/7 of the Co
Page 29 and 30:
The 2005 United States act on patie
Page 31 and 32:
The right to participate in policy-
Page 33 and 34:
The right to participate in quality
Page 35 and 36:
» engaging with patient representa
Page 37 and 38:
hampered by the written and spoken
Page 39 and 40:
prevents misunderstandings and shap
Page 41 and 42:
Health care providers should nevert
Page 43 and 44:
Recommendation 7 - Encourage the av
Page 45 and 46:
20. Constitution of the World Healt
Page 47 and 48:
ChApTER 3. pATIENT pARTICIpATION IN
Page 49 and 50:
awareness of the sociomedical burde
Page 51 and 52:
Patient participation in hand hygie
Page 53 and 54:
Page 55 and 56:
Page 57 and 58:
Page 59 and 60:
Page 61 and 62:
Blood transfusion safety in France:
Page 63 and 64:
Page 65 and 66:
Box 4 .1 . Definitions of adverse e
Page 67 and 68:
Fig . 4 .4 . Distribution of advers
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
The heterogeneity of situations and
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Fig . 4 .12 . Patients’ response
Page 85 and 86:
Page 87 and 88:
Page 89 and 90: Blood transfusion safety in France:
Page 91 and 92: Patient safety, rights and medicati
Page 97 and 98: Fig . 5 .3 . Frequency with which d
Page 107 and 108: ChApTER 6. pATIENT pARTICIpATION IN
Page 109 and 110: Patient participation in elective s
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: available evidence suggests that in
Page 143 and 144: Feeling safe Five per cent of hospi
Page 145 and 146: probability proportional to populat
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
Page 155 and 156: 2009 (http://www.bradfordresearch.n
Page 157 and 158: of a small-scale patient survey add
Page 159 and 160: Box 8 .2 . Curricula and CME Chapte
Page 161 and 162: is provided through interaction of
Page 163 and 164: Box 8 .4 . Patient education Chapte
Page 165 and 166: ANNEX 1. QUOTATIONS FROM INTERNATIO
Page 167 and 168: (2) When designing adverse event re
Page 169 and 170: 17) If yes, do you think this was m
Page 171 and 172: Box A3 .1 . Reporting procedure Pat
Page 173 and 174: Box A3 .2 . contd Haemosiderosis Ha
Page 175 and 176: ANNEX 4. pATIENT QUESTIONNAIRE ABOU
Page 177 and 178: ANNEX 6. WhO pATIENT SAFETY pROGRAM
Page 179 and 180: especially those in intensive care.
Page 181 and 182: ANNEX 7. hANDOVER pROjECT Paul Bara
Page 183 and 184: (a) Provide new insight into the ro
Page 185 and 186: Johnson J, Barach P. Handovers of p
Page 187 and 188: Enhancing the patients’ role in p
Page 189 and 190: Enhancing the patients’ role in p
show all

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

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?