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

More documents

Recommendations

Info

Exploring patient participation in reducing health-care-related safety risks 128 rehabilitation. Results of CQI surveys are used for public reporting, providing consumer information and improving the quality of care, among other things. The Centre for Consumer Experience in Health Care has an online database of all the individual items in CQI questionnaires that was used to identify questions about experiences with patient safety, adverse events, trust, and so on. After identifying these questions and their location (within, for example, a specific CQI questionnaire), publications were searched to find empirical data collected with the questionnaires. This resulted in the findings reported in the sections below. Adverse events Sixteen per cent of Netherlander breast cancer patients reported that they had experienced infections after their surgery (69). Six per cent of those who had total-hip or total-knee replacement reported that they needed a second operation because of a complication or infection. Three per cent of cataract patients reported that they had been reoperated on within three weeks (70) and 13% reported that they experienced complications (71). Safety management Twenty-three per cent of cataract patients reported that they were not told what to do in case of emergency; 46% reported that hospital personnel did not ask them if they were allergic to iodine; and 40% said that hospital personnel did not ask them if they were allergic to any other drug (71). Twenty-nine per cent of hospital patients reported that their identity was “never” or only “sometimes” checked before they were given their medication, and 13% that their identity was “never” or “sometimes” checked before a procedure was performed (72) (Fig. 7.1). Fig . 7 .1 . Patient experiences with safety management – inpatient hospital care in the Netherlands, 2009 Was your identity checked before a procedure took place? N=19 536 Was your identity checked before you were given your medication? N=15 941 Did hospital personnel pay attention to unsafe situations? N=21 879 Did hospital personnel pay attention to the prevention of accidents? N=22 874 Did you have the feeling that you were in good hands with doctors, nurses or other professionals? N=23 861 % 0 20 40 60 80 100 Note: results from 94 hospitals. Source: Miletus (72). Never/sometimes Usually Always
Feeling safe Five per cent of hospital patients reported that they “never” or only “sometimes” felt safe in the hands of doctors and nurses during their hospital stay (72) (Fig. 7.1). Ten of the nursing home clients questioned reported that they “never” or only “sometimes” experienced competent and safe care; 11% of families of clients on psychogeriatric wards reported that they “never” or only “sometimes” experienced competent and safe care; and 44% of home care clients “never” or only “sometimes” experienced competent and safe care (73) (Fig. 7.2). Fig . 7 .2 . Clients experiencing competent and safe care – nursing homes and home care in the Netherlands, 2006 Somatic nursing care Psychogeriatric care Home care Source: Westert et al. (73). % 0 25 50 75 100 Never/sometimes Usually Always Being actively involved Thirty per cent of cataract patients reported that their ophthalmologist was never/ sometimes willing to talk about things that had gone wrong (71). Thirty-three per cent of breast cancer patients reported that their health care providers were never/sometimes willing to talk about things that had gone wrong (69). Surveys of the CQC The CQC in United Kingdom (England) coordinates patient surveys and collects feedback on individuals’ experiences in using a range of health care services provided by the NHS. Several questions in the adult inpatient survey are related to patient safety. Data are reported on the CQC web site (74). Safety management Seventeen per cent of patients who were given medication to take home with them said they received an explanation “to some extent”, but an additional 9% said that a member of staff did not explain the purpose of the medicines. Forty-four per cent reported that they were not informed about medication side-effects that could occur at home (Fig. 7.3). Thirty-five per cent said they were not given written or printed information about what they should or should not do after leaving hospital and 38% were not told about any danger signals they should watch for after they went home. When asked about hand washing, 78% of respondents said that as far as they knew, doctors “always” washed their hands between touching patients, while 7% said that this Patients’ experiences and patient safety 129
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:
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 and 140: available evidence suggests that in
Page 141: Adverse events Respondents from the
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?