Patients' role in promoting medical safetyas witness to unsafe events
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概要
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Patient participation is regarded as necessary to establish high quality care in various fields of clinical practice including medical safety. Hitherto, there are only empirical studies and few studies with quantitative data available. The purpose of this study is to clarify patients' role in medical safety; whether patients can be witness to unsafe events, and if so, under which circumstances they can function well complimenting an in-house incident reporting system.<BR>A questionnaire survey was conducted at three hospitals in Japan: a university teaching hospital with about 1, 000 beds, a general acute care hospital with about 180 beds and a caremix hospital with about 160 acute care beds and chronic care beds each.<BR>As the result, 85.4%(1, 506/1, 764) of the outpatients and 47.9%(516/1, 078) of the inpatients responded. 8.7% of the outpatients and 11.0% of the inpatients experienced unsafe or uneasydissatisfying events. Inpatients who stayed at the hospital for 1 to 7 days, 7.1% answered that they experienced possible unsafe events. The proportion increased to 10.6% for those who stayed 8 to 14 days, and to 10.8% for those who stayed 15 days or longer. Only 30.4% of the outpatients and 23.6% of the inpatients reported their experience to medical staff. Medical Staff reported 14.3% of the incidents/accidents to the in-house incident reporting system. Error modes, which patients could identify with ease, included "medication to a wrong patient", "inappropriate infusion speed", "use of contradicting medication", "appearance of side-effect" and "leak of intravenous infusion".<BR>Our study suggests that medical staff finds or reports only part of the unsafe or uneasydissatisfying events experienced by patients. If utilized properly patients' witnessed adverse events information can improve hospital medical safety.
- 特定非営利活動法人 日本医療マネジメント学会の論文
特定非営利活動法人 日本医療マネジメント学会 | 論文
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