Brief report: Hospitalized patients’ attitudes about and participation in error prevention
- 1 April 2006
- journal article
- Published by Springer Science and Business Media LLC in Journal of General Internal Medicine
- Vol. 21 (4), 367-370
- https://doi.org/10.1111/j.1525-1497.2005.00385.x
Abstract
BACKGROUND AND OBJECTIVE: Although many patient safety organizations and hospital leaders wish to involve patients in error prevention, it is unknown whether patients will take the recommended actions or whether error prevention involvement affects hospitalization satisfaction. DESIGN AND PARTICIPANTS: Telephone interviews with 2,078 patients discharged from 11 Midwest hospitals. RESULTS: Ninety-one percent agreed that patients could help prevent errors. Patients were very comfortable asking a medication’s purpose (91%), general medical questions (89%), and confirming their identity (84%), but were uncomfortable asking medical providers whether they had washed their hands (46% very comfortable). While hospitalized, many asked questions about their care (85%) and a medication’s purpose (75%), but fewer confirmed they were the correct patient (38%), helped mark their incision site (17%), or asked about handwashing (5%). Multivariate logistic regression revealed that patients who felt very comfortable with error prevention were significantly more likely to take 6 of the 7 error-prevention actions compared with uncomfortable patients. CONCLUSIONS: While patients were generally comfortable with error prevention, their participation varied by specific action. Since patients who were very comfortable were most likely to take action, educational interventions to increase comfort with error prevention may be necessary to help patients become more engaged.Keywords
This publication has 12 references indexed in Scilit:
- Advising Patients About Patient Safety: Current Initiatives Risk Shifting ResponsibilityThe Joint Commission Journal on Quality and Patient Safety, 2005
- A Survey of Patterns of Physician Hygiene in Ophthalmology Clinic Patient EncountersEye & Contact Lens: Science & Clinical Practice, 2003
- Adverse Drug Events in Ambulatory CareNew England Journal of Medicine, 2003
- Soliciting Patient Complaints to Improve PerformanceThe Joint Commission Journal on Quality and Safety, 2003
- Patients' and Physicians' Attitudes Regarding the Disclosure of Medical ErrorsJAMA, 2003
- Preventing Medical Errors: Communicating a Role for Medicare Beneficiaries2001
- Understanding Patient willingness to Recommend and Return: A Strategy for Prioritizing Improvement OpportunitiesThe Joint Commission Journal on Quality Improvement, 1999
- Patients' Preferences for Participation in Clinical Decision Making: A Review of Published SurveysBehavioral Medicine, 1998
- The relationship of physician medical interview style to patient satisfaction.1991
- Measuring patients’ desire for autonomyJournal of General Internal Medicine, 1989