تجارب المرضى للأحداث غير المرغوب فيها اثناء اقامتهم في المستشفى : دراسة في المجمع الطبي الفلسطيني ، رام الله
Date
2015-07-04
Authors
مي طارق محمود بشر
May Tareq Mahmoud Bisher
Journal Title
Journal ISSN
Volume Title
Publisher
AL-Quds University
جامعة القدس
جامعة القدس
Abstract
Background: Some patients are subjected to undesirable safety events during hospitalization
and their health may be negatively affected by the health care received. The consequences can be
permanent injury, an increased length of stay (LOS) in hospital, and in some cases even death.
As health systems become more complex and interrelated, the focus on patient safety has
intensified. Wide-ranging efforts have been devoted to evaluating the harm incurred by patients
and to learning from errors, but data about health care problems reported solely from the
perspective of professionals engaged in this field is insufficient. Therefore, this study addresses
patient-centered data that take into account the patient’s experience of undesirable safety events
within three main categories: medical complications, health care process problems and
communication problems.
Aim: To investigate patient experience of undesirable safety events and to evaluate the extent
and nature of harm occurring during hospitalization.
Methods: The survey design was a quantitative, descriptive cross-sectional survey. Existing
updates to the Picker survey tool were reviewed, translated and adapted to the Palestinian
context, and validated by an expert committee in the area of patient safety. Chronbach’s alpha
test was conducted to test the reliability of the survey categories and items and showed an overall
acceptable internal consistency (0.778). The study was carried out in the Palestinian MedicalComplex in Ramallah. The study sample consisted of adult medical and surgical patients who
had already spent at least four days in hospital.
Findings: The survey was conducted on a total of 98 patients, of whom fifty percent were
females and fifty percent were males, with a mean age of 57 years. Of those surveyed, 46.9%were over 60 years of age; 58.2% were medical patients; and 41.8% were surgical patients. The
mean length of stay was seven days.
Patients reported a total of 851 undesirable events (an average of 8.68 events per person).
Patients reported 168 medical complications (20%), 187 health care process problems (22%),
and 496 communication problems (the highest event rate with 58%). About 43% of the patients
rated the undesirable safety events they had faced as high risk, and 20.4% of patients indicated
that they had had serious concerns about experiencing a medical error in their care prior to being
admitted to hospital.
The results showed that patients with poor and very poor health were more exposed to
experience undesirable safety events (P =0.015). Also, surgical patients reported more problems
in the care process than medical patients (P=0.047). Participants who had experienced health
care process problems rated their experience of undesirable events as posing a high degree of
risk (P<0.001). Finally, communication problems between patients and health professionals have
a very detrimental effect on patient health (P<0.001).
Description
Keywords
السياسات والاداره الصحية , Policies & Health Management