Wasson John H, MacKenzie Todd A, Hall Michael
Dartmouth Medical School, Hanover, NH 03755, USA.
Qual Saf Health Care. 2007 Jun;16(3):213-5. doi: 10.1136/qshc.2006.019810.
As patients directly experience harm from adverse events, investigators have proposed patient-report to complement professional reporting of adverse events.
To investigate how an automated health assessment system can be used to identify adverse events.
Internet survey responses from April 2003 to April 2005 involving communities and clinical practices across the USA.
44,860 adults aged 19-69 years.
Patient perceptions of adverse events experienced during the previous year. Independent legal review was also used to estimate how many patient-reports were serious enough to be potentially compensable.
Although patient reports of possible adverse events was low (1.4%), the percentage of adverse events was eight times higher for patients with the greatest burden of illness than for those with the least (3.4% vs 0.4%). Two expert malpractice attorneys agreed that 9% of the adverse events seemed to be serious.
PATIENTS will use internet technology to report their perceptions of health-related adverse events. Some of the patient-reported events reported will be serious.
由于患者会直接遭受不良事件的伤害，研究人员提议采用患者报告来补充专业人员对不良事件的报告。
探讨如何利用自动化健康评估系统来识别不良事件。
2003年4月至2005年4月期间对美国各地社区和临床机构进行的互联网调查回复。
44860名年龄在19至69岁之间的成年人。
患者对前一年经历的不良事件的认知。还通过独立的法律审查来估计有多少患者报告严重到可能获得赔偿。
尽管患者报告的可能不良事件发生率较低（1.4%），但疾病负担最重的患者的不良事件发生率比负担最轻的患者高出八倍（3.4%对0.4%）。两名专业医疗事故律师一致认为，9%的不良事件似乎较为严重。
患者会使用互联网技术报告他们对与健康相关不良事件的认知。一些患者报告的事件会很严重。
