Can patients report patient safety incidents in a hospital setting? A systematic review

Ward, Jane; Armitage, Gerry

doi:10.1136/bmjqs-2011-000213

Cited by 122 publications

(149 citation statements)

References 41 publications

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“…7,26 These results further contradict studies specific to cancer patients which found that the longer duration of care in a cancer centre increased the likelihood of patients reporting concerns about safety. 27,28 However, this study differed from other studies as its design enabled patients to report incidents, rather than patients responding to questions asked by researchers, hence the method employed may account, at least in part, for the differences in results.…”

Section: Number and Type Of Incidents Reportedcontrasting

confidence: 55%

Patients’ willingness to complete written incident report forms in one UK tertiary cancer hospital

2015

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This article examines patients' willingness to complete incident report forms (IRF), providing a description of the event or concern. Differing from other studies, its design enabled patients to report incidents when and if they felt this necessary, rather than responding to researchers' questions. 145 patients receiving treatment for cancer in a UK hospital were invited to participate. Of the 100 patients who agreed to participate, only 13 completed a total of 22 forms. The form's purpose was not easily understood, often perceived as complaining and patients tended to report relatively trivial matters. Contrary to previous studies, this study found little evidence that IRFs are the right tool for enabling patients' proactive involvement in safety improvement. Asking patients to monitor their safety by completing IRFs may serve to undermine patients' trust in their clinicians while duplicating resources.

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Section: Number and Type Of Incidents Reportedcontrasting

confidence: 55%

Patients’ willingness to complete written incident report forms in one UK tertiary cancer hospital

2015

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“…It included systematic reviews of articles on the most effective ways of engaging the public in patient safety and evidence scans or reviews of the type and extent of patient involvement that might be considered in patient safety Hall et al 2010;Doherty and Stavropoulou 2012;Ward and Armitage 2012;Coulter and Ellins 2007;Schwappach 2010;Davis et al 2012). Such reviews tended not to offer much evidence for the effectiveness of patient and public involvement in patient safety; reviews by the Health Foundation (2013) and Hall et al (2010) struggled to determine from the extant literature what works best in engaging patients in terms of safety outcomes.…”

Section: The Literaturementioning

confidence: 95%

“…There are some exceptions to this -for example Ward and Armitage (2012) explore the extent of safety incident reporting among patients in a hospital setting, Weingart et al (2004) report on lessons learnt from an intervention to prevent adverse drug events, and Larsen et al (2011) describe the use of patient feedback in real time to improve safety. In general, though, the published evidence focuses on attitudes and expectations rather than on the opportunities for patient involvement in patient safety and the results of these.…”

Section: The Literaturementioning

confidence: 96%

Patient Involvement in Patient Safety: Current experiences, insights from the wider literature, promising opportunities?

Sutton

Eborall

Martin

2014

Public Management Review

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Patient involvement in patient safety is emerging as an area of growing policy, practice, and academic interest. In this article, we review the existing literature on patient involvement and patient safety and seek to highlight some of the key areas of challenge in this emergent field by relating it to themes identified in the wider, more mature, literature on patient and public involvement in health care in general. Insights from the wider literature illuminate key issues for involvement in patient safety and suggest promising ways of circumventing these challenges and achieving involvement in patient safety in a way that maximizes impact while avoiding unintended consequences.

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“…attitudes, values, emotions, behaviours and interactions of patients) suggests patients should be integrated into safety assessments, with patient accounts of good or poor care being used to detect unsafe organisational cultures [27] [28]. Patient perspectives have therefore been linked with patient safety and clinical effectiveness across a wide variety of treatments, settings, population groups and outcome measures [29].…”

Section: Organisational Culturementioning

confidence: 99%

What can acute medicine learn from qualitative methods?

Heasman

Reader

2015

Current Opinion in Critical Care

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Research Council (ESRC). Conflicts of interest:None. Abstract Purpose of reviewThe contribution of qualitative methods to evidence-based medicine is growing, with qualitative studies increasingly used to examine patient experience and unsafe organisational cultures. This review considers qualitative research recently conducted on teamwork and organisational culture in the Intensive Care Unit (ICU) and also other acute domains. Recent findingsQualitative studies have highlighted the importance of interpersonal and social aspects of healthcare on managing and responding to patient care needs. Clear/consistent communication, compassion, and trust underpin successful patient-physician interactions, with improved patient experiences linked to patient safety and clinical effectiveness across a wide range of measures and outcomes. Across multidisciplinary teams, good communication facilitates shared understanding, decision-making and coordinated action, reducing patient risk in the process. SummaryQualitative methods highlight the complex nature of risk management in hospital wards, which is highly contextualised to the demands and resources available, and influenced by multi-layered social contexts. In addition to augmenting quantitative research, qualitative investigations enable the investigation of questions on social behaviour that are beyond the scope of quantitative assessment alone. To develop improved patient-centred care, health professionals should therefore consider integrating qualitative procedures into their existing assessments of patient/staff satisfaction.

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Can patients report patient safety incidents in a hospital setting? A systematic review

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Cited by 122 publications

References 41 publications

Patients’ willingness to complete written incident report forms in one UK tertiary cancer hospital

Patients’ willingness to complete written incident report forms in one UK tertiary cancer hospital

Patient Involvement in Patient Safety: Current experiences, insights from the wider literature, promising opportunities?

What can acute medicine learn from qualitative methods?

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