Abstract:
INTRODUCTION:Emergent evidence suggests that patients can identify and report safety issues while in hospital. However, little is known about the best method for collecting information from patients about safety concerns. This study presents an exploratory pilot of three mechanisms for collecting data on safety concerns from patients during their hospital stay. METHOD:Three mechanisms for capturing safety concerns were coproduced with healthcare professionals and patients, before being tested in an exploratory trial using cluster randomisation at the ward level. Nine wards participated, with each mechanism being tested over a 3-month study period. Patients were asked to feed back safety concerns via the mechanism on their ward (interviewing at their bedside, paper-based form or patient safety 'hotline'). Safety concerns were subjected to a two-stage review process to identify those that would meet the definition of a patient safety incident. Differences between mechanisms on a range of outcomes were analysed using inferential statistics. Safety concerns were thematically analysed to develop reporting categories. RESULTS:178 patients were recruited. Patients in the face-to-face interviewing condition provided significantly more safety concerns per patient (1.91) compared with the paper-based form (0.92) and the patient safety hotline (0.43). They were also significantly more likely to report one or more concerns, with 64% reporting via the face-to-face mechanism, compared with 41% via the paper-based form and 19% via the patient safety hotline. No mechanism differed significantly in the number of classified patient safety incidents or physician-rated preventability and severity. DISCUSSION:Interviewing at the patient's bedside is likely to be the most effective means of gathering safety concerns from inpatients, potentially providing an opportunity for health services to gather patient feedback about safety from their perspective.
journal_name
BMJ Qual Safjournal_title
BMJ quality & safetyauthors
O'Hara JK,Armitage G,Reynolds C,Coulson C,Thorp L,Din I,Watt I,Wright Jdoi
10.1136/bmjqs-2015-004260subject
Has Abstractpub_date
2017-01-01 00:00:00pages
42-53issue
1eissn
2044-5415issn
2044-5423pii
bmjqs-2015-004260journal_volume
26pub_type
杂志文章abstract::OBJECTIVE To evaluate the effects of a clinical pharmacist service on health-related quality of life (HRQL) and prescribing of drugs. METHODS A randomised controlled study was performed in two internal medicine wards. The intervention consisted of medication reviews with feedback to the physicians, drug treatment disc...
journal_title:BMJ quality & safety
pub_type: 杂志文章,随机对照试验
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更新日期:2011-09-01 00:00:00
abstract:OBJECTIVES:To determine whether the items on the Time Out and the Sign Out of the Surgical Safety Checklist are properly checked by operating room (OR) staff and to explore whether the number of checked items is influenced by the severity of the intervention and the use of the checklist as a memory tool during the Time...
journal_title:BMJ quality & safety
pub_type: 杂志文章
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journal_title:BMJ quality & safety
pub_type: 杂志文章
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更新日期:2012-12-01 00:00:00
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journal_title:BMJ quality & safety
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更新日期:2014-10-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
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更新日期:2014-08-01 00:00:00
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pub_type: 杂志文章
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journal_title:BMJ quality & safety
pub_type: 杂志文章
doi:10.1136/bmjqs-2012-001089
更新日期:2013-03-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章,多中心研究
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更新日期:2011-07-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章,评审
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更新日期:2014-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1136/bmjqs-2018-008260
更新日期:2019-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-11-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
doi:10.1136/bmjqs-2014-003914
更新日期:2016-08-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
doi:10.1136/bmjqs.2010.048991
更新日期:2011-08-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
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更新日期:2016-03-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjqs-2018-008975
更新日期:2019-10-01 00:00:00
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更新日期:2020-01-08 00:00:00
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更新日期:2013-06-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
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更新日期:2016-10-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
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更新日期:2020-01-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
doi:10.1136/bmjqs.2010.049635
更新日期:2011-10-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjqs-2018-007837
更新日期:2018-11-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
doi:10.1136/bmjqs-2017-007184
更新日期:2018-09-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
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更新日期:2012-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2011-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-10-23 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
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更新日期:2015-02-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
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更新日期:2015-08-01 00:00:00