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

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Exploring patient participation in reducing health-care-related safety risks 76 Sicard D. Évolutions éthiques de la transfusion sanguine. Hématologie, 2001, 7(4):272–275. Siriwardana M et al. Transfusion in clinical practice in geriatric wards. La Revue de Médecine Interne, 2010, 31(2):91–96.
Patient safety, rights and medication safety in primary care in Poland ChApTER 5. pATIENT SAFETY, RIGhTS AND MEDICATION SAFETY IN pRIMARY CARE IN pOLAND Basia Kutryba, Jarosław Woroń, Halina Kutaj-Wąsikowska, Andrzej Warunek Introduction Many studies focus on medication safety as one of the fundamental areas of patient safety. Adverse drug events (ADEs) are the most frequent type of adverse events. There is often confusion, however, between ADEs and adverse drug reactions (ADRs). They are defined, respectively, as follows: » ADE – every adverse event related to medicine use (pharmacotherapy); there is not necessarily a cause–effect relationship involved; and » ADR – every event has a cause–effect relationship resulting from medication use; the relationship between cause and effect can be determined as resulting directly from the medicine use − anaphylactic shock during penicillin administration, for example. ADEs therefore include ADRs and other adverse events related to medication use, prescribing, storage and design. Several national multicentre studies of adverse events in different countries reveal that between 6.3% and 12.9% of hospitalized patients suffer at least one adverse event during their admissions and that between 10.8% and 38.7% are caused by medicines. Between 30.3% and 47% of these ADEs appear to be consequences of medication errors and may therefore be considered to be preventable. Available data show that the morbidity and mortality associated with medication errors in Europe are of a similar magnitude to those in the United States and other countries. The reported incidence of preventable ADEs in European hospitals ranges from 0.4% to 7.3% of all hospitalizations. European evidence on medication errors is presented in the following sections in the format of the different European studies on ADEs, but the review of the research literature shows that only a few studies are related to pharmacotherapy and the use of medicines in PHC. These studies reveal that ADEs are mostly caused by errors in prescription and drug administration or lack of patient compliance and are probably more frequent than in hospital settings because drug consumption in PHC is greater, although data on this are scarce and fragmented. The European research on preventable ADEs occurring in primary care and leading to hospital admissions has shown that between 0.9% and 4.7% of all hospital admissions 77
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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
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
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Page 49 and 50: awareness of the sociomedical burde
Page 51 and 52: Patient participation in hand hygie
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 89: Blood transfusion safety in France:
Page 93 and 94: Patient safety, rights and medicati
Page 97 and 98: Fig . 5 .3 . Frequency with which d
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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
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Adverse events Respondents from the
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Feeling safe Five per cent of hospi
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probability proportional to populat
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care professionals’ and patients
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group recommends that patient invol
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13. Hibbard JH et al. Can patients
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52. Triemstra M et al. Measuring cl
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2009 (http://www.bradfordresearch.n
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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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Exploring patient participation in reducing health-care-related safety risks

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