Jia Yan1, Ke Liu2, Lifeng Zhang2, Ting Chu3, Xuehua Wang4. 1. School of Nursing, Changsha Medical University, 1501 Leifeng Road, Wangcheng District, Changsha, 410000, Prov. Hunan, China. 2. Sun Yat-sen University, 74 2nd Yat-Sen Road, Yuexiu District, Guangzhou, 510080, Prov. Guangdong, China. 3. Medical College of Jishou University, 18 Rongchang Road, Jishou, 416000, Pro. Hunan, China. 4. The third affiliated hospital of Sun Yat-sen University, 600 Tianhe Road, Tianhe District, Guangzhou, 510000, Prov. Guangdong, China.
Abstract
OBJECTIVE: To identify the frequency of undesirable events reported by patients during hospitalization and explore the relationship between undesirable events and perception of safety and satisfaction with care in China. DESIGN: Cross-sectional survey. SETTING: Chinese university hospital. PARTICIPANTS: Adult patients (N = 341) discharged from medical and surgical departments. INTERVENTIONS: Patients were interviewed post-discharge using a survey instrument to ask whether they had experienced specific undesirable events during hospitalization. Patient perception of safety and satisfaction with care received were also probed during this interview. MAIN OUTCOME MEASURES: Frequency of interpersonal problems, medical complications and healthcare process problems, and perception of safety and satisfaction with care. RESULTS: In total, 601 undesirable events were reported (rate of 1.76 per person), including 229 interpersonal problems, 132 medical complications and 240 healthcare process problems. The most frequent event was insufficient explanation of medication side effects (22.9%). Both the perception of safety and satisfaction with care were related to the experience of undesirable events negatively. CONCLUSIONS: Many respondents experienced undesirable events during hospitalization and these experiences impacted negative on patients' feelings toward the hospital. Engaging patients as partners in reporting undesirable events is a valuable tool for identifying and monitoring problematic areas of care. In order to encourage the contribution patients could make to improving patient safety, it is necessary to develop patient incident reporting systems.
OBJECTIVE: To identify the frequency of undesirable events reported by patients during hospitalization and explore the relationship between undesirable events and perception of safety and satisfaction with care in China. DESIGN: Cross-sectional survey. SETTING: Chinese university hospital. PARTICIPANTS: Adult patients (N = 341) discharged from medical and surgical departments. INTERVENTIONS: Patients were interviewed post-discharge using a survey instrument to ask whether they had experienced specific undesirable events during hospitalization. Patient perception of safety and satisfaction with care received were also probed during this interview. MAIN OUTCOME MEASURES: Frequency of interpersonal problems, medical complications and healthcare process problems, and perception of safety and satisfaction with care. RESULTS: In total, 601 undesirable events were reported (rate of 1.76 per person), including 229 interpersonal problems, 132 medical complications and 240 healthcare process problems. The most frequent event was insufficient explanation of medication side effects (22.9%). Both the perception of safety and satisfaction with care were related to the experience of undesirable events negatively. CONCLUSIONS: Many respondents experienced undesirable events during hospitalization and these experiences impacted negative on patients' feelings toward the hospital. Engaging patients as partners in reporting undesirable events is a valuable tool for identifying and monitoring problematic areas of care. In order to encourage the contribution patients could make to improving patient safety, it is necessary to develop patient incident reporting systems.
Authors: Alicia Brotons; Mercedes Guilabert; Francisco Javier Lacueva; José Joaquín Mira; Blanca Lumbreras; María Dolores Picó; Julián Vitaller; Mariana Fe García-Sepulcre; Germán Belda; Javier Sola-Vera Journal: Int J Environ Res Public Health Date: 2019-01-30 Impact factor: 3.390