Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff responsiveness.
Qual Saf Health Care
; 15(2): 136-41, 2006 Apr.
Article
em En
| MEDLINE
| ID: mdl-16585116
ABSTRACT
OBJECTIVE:
To assess whether patients' perceptions of a hypothetical medical error are influenced by staff responsiveness, disclosure of error, and health consequences of the error.DESIGN:
Hypothetical scenario describing a medication error submitted by mail. Three factors were manipulated at random rapid v slow staff responsiveness to error; disclosure v non-disclosure of the error; and occurrence of serious v minor health consequences.PARTICIPANTS:
Patients discharged from hospital.MEASURES:
Assessment of care described in the scenario as bad or very bad, rating of care as unsafe, and intent to not recommend the hospital.RESULTS:
Of 1274 participants who evaluated the scenario, 71.4% rated health care as bad or very bad, 60.2% rated healthcare conditions as unsafe, and 25.5% stated that they would not recommend the hospital. Rating health care as bad or very bad was associated with slow reaction to error (odds ratio (OR) 2.8, 95% CI 2.1 to 3.6), non-disclosure of error (OR 2.0, 95% CI 1.5 to 2.6), and serious health consequences (OR 3.4, 95% CI 2.6 to 4.5). Similar associations were observed for rating healthcare conditions as unsafe and the intent to not recommend the hospital. Younger patients were more sensitive to non-disclosure than older patients.CONCLUSIONS:
Former patients view medical errors less favorably when hospital staff react slowly, when the error is not disclosed to the patient, and when the patient suffers serious health consequences.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
11_ODS3_cobertura_universal
Problema de saúde:
11_delivery_arrangements
Assunto principal:
Qualidade da Assistência à Saúde
/
Revelação da Verdade
/
Relações Hospital-Paciente
/
Atitude Frente a Saúde
/
Gestão da Segurança
/
Hospitais Universitários
/
Erros de Medicação
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Qualitative_research
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Limite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Qual Saf Health Care
Assunto da revista:
PESQUISA EM SERVICOS DE SAUDE
/
SERVICOS DE SAUDE
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Suíça